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A new paradigm for the diagnosis and management of unknown primary tumors of the head and neck: A role for transoral robotic surgery

Identifieur interne : 006259 ( Main/Exploration ); précédent : 006258; suivant : 006260

A new paradigm for the diagnosis and management of unknown primary tumors of the head and neck: A role for transoral robotic surgery

Auteurs : Vikas Mehta [États-Unis] ; Paul Johnson [États-Unis] ; Andrew Tassler [États-Unis] ; Seungwon Kim [États-Unis] ; Robert L. Ferris [États-Unis] ; Melonie Nance [États-Unis] ; Jonas T. Johnson [États-Unis] ; Umamaheswar Duvvuri [États-Unis]

Source :

RBID : ISTEX:5C1F6BF0D1169D7F6A604F23A12CE880156AFF43

English descriptors

Abstract

In 2% to 3% of patients with cancer metastatic to cervical lymph nodes, a primary tumor will not be found despite exhaustive diagnostic efforts. The treatment for these patients includes cervical lymphadenectomy followed by radiation to areas with increased risk of harboring a mucosal primary. Wide‐field radiation therapy increases the incidence of xerostomia and dysphagia. Localizing a primary tumor has thus both therapeutic and quality‐of‐life implications, allowing possible complete surgical excision, concentrated radiation therapy, and potential deintensification of adjuvant therapy. With improved visualization and freedom of motion, transoral robotic surgery (TORS) is an innovative surgical modality that allows resection of oropharyngeal subsites with minimal morbidity.

Url:
DOI: 10.1002/lary.23562


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Cell carcinoma</term>
<term>Cell carcinoma metastases</term>
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<term>Cervical metastases</term>
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<term>Esophageal inlet</term>
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<div type="abstract">In 2% to 3% of patients with cancer metastatic to cervical lymph nodes, a primary tumor will not be found despite exhaustive diagnostic efforts. The treatment for these patients includes cervical lymphadenectomy followed by radiation to areas with increased risk of harboring a mucosal primary. Wide‐field radiation therapy increases the incidence of xerostomia and dysphagia. Localizing a primary tumor has thus both therapeutic and quality‐of‐life implications, allowing possible complete surgical excision, concentrated radiation therapy, and potential deintensification of adjuvant therapy. With improved visualization and freedom of motion, transoral robotic surgery (TORS) is an innovative surgical modality that allows resection of oropharyngeal subsites with minimal morbidity.</div>
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