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The contemporary management of patients with cancers of the head
and neck is under careful scrutiny and major changes are being
introduced in order to improve the potenti al not only for
long-term control but also for less in the way of disfiguring and
distres sing complications associated with the treatment programs.
In 1988, the American Cancer Society estimates that there will be
42400 new cases of malignant tumors of the head and neck diagnosed
with 12 850 deaths. In general, the prognosis for patients with
malignant tumors of the head and neck re gion depends upon the site
of origin, the local and regional extent of the tumor, the Kar
nofsky status of the patient as well as the patient's general
medical condition. The poten tial for cure for early stage tumors
is extremely high particularly for those lesions involving the
vocal cord, oral cavity, and the anterior two-thirds of the tongue.
Major advances have been made in the management of head and neck
cancer by the innovative utilization of surgery with radiation
therapy. Small tumors can be cured by ei ther surgery or radiation
therapy with equally good results. However, far advanced tu mors
are more complicated and more difficult to cure requiring combined,
integrated, multimodal programs of management. Therefore, the
previously general poor prognosis for advanced tumors is becoming
better with more aggressive treatment regimens."
Jack Olivetti, and his protege, Meredith Jones, have discovered a
new treatment process incorporating a combination of laboratory
measurements and computer modeling. The treatment is individualized
for each patient. The Dean of the Medical School and his associates
in a local BioTech Company, AVARTEC, want to discredit the
discovery and take it over themselves. Meredith's grandmother
develops ovarian cancer, which forces the investigators to cut
corners in moving their discovery into clinical trials. The CEO of
AVARTEC sabotages the clinical trial allowing several patients to
die in the process. To keep this from getting out, the CEO hires
professional killers to eliminate Jack and Meredith culminating in
a chase through the otherwise deserted AVARTEC laboratories.
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