Transoral robotic surgery in the management of head and neck squamous cell cancer with unknown primary.
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| Title: | Transoral robotic surgery in the management of head and neck squamous cell cancer with unknown primary. |
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| Authors: | Nilsson, Johan S., Wahlberg, Peter, Greiff, Lennart |
| Source: | Acta Oto-Laryngologica (Supplement). 2020, Vol. 140 Issue 1, p85-88. 4p. 2 Charts. |
| Subjects: | Biopsy, Surgical robots, Endoscopic surgery, Tongue tumors, Head & neck cancer, Cancer of unknown primary origin, Retrospective studies, Magnetic resonance imaging, Oropharyngeal cancer, Treatment effectiveness, Positron emission tomography, Tonsillectomy, Squamous cell carcinoma, Longitudinal method, Endoscopy, Glossectomy |
| Abstract: | Background: Transoral robotic surgery (TORS) assisted base of the tongue (BOT) resection has been suggested as part of the work-up for head and neck squamous cell cancer with unknown primary (HNSCC-CUP). Success rates vary with regard to identification of primary BOT lesions, and cases with likely such lesions appear to be included in previous reports. Objectives: To analyse the possible benefits of a superficial TORS-assisted BOT resection in thoroughly investigated HNSCC-CUP. Material and methods: Retrospectively, 13 patients subjected to superficial TORS-assisted BOT resections due to HNSCC-CUP, where previous thorough work-ups including PET-scans had been performed and primary lesions had still not been identified, were reviewed. Results: Nodal status, according to the TNM-8 classification, was N1, N2, N2a, N2b, N2c, and N3, respectively, for 7, 1, 1, 4, 0, and 0 patients. In 38% of the cases, T1 BOT cancers were identified using superficial TORS-assisted BOT resections and treatments adjusted. Conclusion: Addition of a superficial TORS-assisted BOT resection to the work-up of HNSCC-CUP frequently identifies primary lesions and alters the treatment for this group of patients even after thorough work-up. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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