Management of the neck in metastasic nodes of unknown origin of cancer
Abstract
An analysis is made and literature is reviewed of the neck in the cervical methastases of unknown origin, focussing primmarily on the epidemiologic and anatomofhysiologic aspects as well as the surgicalmanagement of the limph nodes.The second aspect deals with the role of radiotherapy in these pts as well as the therapeutic options and prognostic factors. Eventually, we conclude that the key for treatment as the algorithm of the cervicalmetastases is known and interpreted has to be that of the redical cervical dissection.Radiotherapy plays its role in the combined treatment of the most advanced disease.The prognosis depends on the extent of the disease.
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References
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2. Jaques DA. Tratamiento de ganglios metastásicos cervicales de origen desconocido. En: Paparella MM, Shumrick DA, eds. Otorrinolaringología: Cabeza y Cuello. T.3-1. Ciudad de La Habana: Editorial Científico-Técnica; 1982. pp.2963-67.
3. Montgomery WW: Surgery of the upper respiratory system. v. 2. New York: Pea. & Febiger; 2000.
4. Byers RM, Wolf PF, Ballantyne AJ. Rationale for elective modified neck dissection. Head Neck Surg 2000; 10(3): 160-7.
5. Medina JE. A rationale classification of neck dissections. Otolaryngol. Head Neck Surg 2000; 100(3): 169-76.
6. Gavilán C, Gavilán J, Moñu X. Vaciamiento ganglionar cervical funcional, En: Carcedo LM, ed. El abordaje en el tratamiento quirúrgico de los tumores de cabeza y cuello. Ponencia oficial de la sociedad Española de Otorrinolaringología; 2000:361-372.
7. Shumrick DA. Disección del cuello. Ed: Paparella MM, Shumrick DA, eds. Otorrinolaringología: Cabeza y cuello. T3-1. Ciudad de la Habana: Editorial Científico-Técnica; 1982. pp. 2931-50.
8. Crile G. Excision of cancer of the head and neck. JAMA 1906; 47: 1780-1786.
9. Ramadan HH, Allen GC. The influence of elective neck dissection on neck relapse in no supraglotic carcinoma. Am J Otolaryngol 2000; 14(4): 278-81.
10. Sap JP. Patterns of cervical lymph node metastasis from squamous carcinomas of the aerodigestive tract. Am J Surg 2000; 160(4): 405-9.
11. Okamoto Y, Inugame A, Matsuzaki Z. Carotid Artery resection for head and neck cancer. Surgery 2000; 120(1): 54-9.
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Pérez Paz LE, Álvarez Morales F, Rodríguez Duménico R, Álvarez Llambía F. Management of the neck in metastasic nodes of unknown origin of cancer. Mediciego [Internet]. 2004 Dec. 4 [cited 2024 Dec. 22];10(2). Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/2704
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