scholarly journals Transoral robotic biopsy of the tongue base: A novel paradigm in the evaluation of unknown primary tumors of the head and neck

Head & Neck ◽  
2011 ◽  
Vol 35 (4) ◽  
pp. E126-E130 ◽  
Author(s):  
Waleed M. Abuzeid ◽  
Carol R. Bradford ◽  
Vasu Divi
Keyword(s):  
Head And Neck ◽  
Tongue Base ◽  
Unknown Primary ◽  
Primary Tumors ◽  
Unknown Primary Tumors

Cervical Lymph Nodes and Unknown Primary Tumors of the Head and Neck

2016 ◽  
pp. 67-78 ◽  
Author(s):  
Snehal G. Patel ◽  
William M. Lydiatt ◽  
John A. Ridge ◽  
Christine M. Glastonbury ◽  
Suresh K. Mukherji ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Head And Neck ◽  
Unknown Primary ◽  
Cervical Lymph Nodes ◽  
Primary Tumors ◽  
Unknown Primary Tumors

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

2012 ◽  
Vol 123 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Vikas Mehta ◽  
Paul Johnson ◽  
Andrew Tassler ◽  
Seungwon Kim ◽  
Robert L. Ferris ◽  
...  
Keyword(s):  
Robotic Surgery ◽  
Head And Neck ◽  
Transoral Robotic Surgery ◽  
Unknown Primary ◽  
New Paradigm ◽  
Primary Tumors ◽  
Diagnosis And Management ◽  
Unknown Primary Tumors

Unknown Primary Tumors

PET-CT ◽  
2005 ◽  
pp. 155-158
Author(s):  
Shahram Bouyadlou ◽  
Peter S. Conti
Keyword(s):  
Unknown Primary ◽  
Primary Tumors ◽  
Unknown Primary Tumors

scholarly journals Practical Applications of In-Office Fiberoptic Transnasal Esophagoscopy in the Initial Evaluation of Patients with Squamous Cell Cancer of the Head and Neck

2013 ◽  
Vol 92 (9) ◽  
pp. 450-455 ◽  
Author(s):  
Robert W. Dolan ◽  
Timothy D. Anderson
Keyword(s):  
Head And Neck ◽  
Squamous Cell ◽  
Incidental Findings ◽  
Squamous Cell Cancer ◽  
Cell Cancer ◽  
Tongue Base ◽  
Unknown Primary ◽  
Initial Visit ◽  
Esophageal Cancers ◽  
Significant Difference

We conducted a study to analyze the effectiveness of trans-nasal esophagoscopy (TNE) as an alternative to operative endoscopy (OE) for the evaluation of primary head and neck cancers and for the surveillance of synchronous esophageal cancers. Our study population was made up of 96 consecutively presenting patients—75 men and 21 women, aged 45 to 88 years (mean: 64)—who were treated at our institution for squamous cell cancer of the head and neck. Of this group, 42 patients had been evaluated with TNE and 54 with OE. More OEs were performed inpatients with an unknown primary (26 vs. 3). Incidental findings on TNE included 3 cases of gastritis, 2 cases each of hiatal hernia and esophagitis, 1 case of Barrett esophagus, and 1 inlet patch. No incidental findings were reported during OE. Primary cancers were biopsied by TNE through a port on the endoscope in 4 patients; 2 of these cancers were in the tongue base, 1 in the hypopharynx, and 1 in the aryepiglottic fold. After the initial visit, patients in the TNE group waited significantly fewer days for their endoscopy than did those in the OE group (median: 6.5 vs. 16; p < 0.05). Conversely, patients in the OE group waited significantly fewer days for treatment following endoscopy (median: 12 vs. 20; p < 0.05). However, there was no significant difference between the TNE patients and the OE patients in the total number of days comprising the their entire course of management, from the initial visit to definite treatment (median: 27.5 and 33 days, respectively; p = 0.7). We conclude that TNE is a reasonable alternative to OE for the initial screening for synchronous esophageal cancers inpatients with squamous cancers of the head and neck. OE is preferred for the initial workup of unknown primary cancers and for large tongue base cancers. The rate of detection of clinically relevant incidental findings is higher with TNE. Biopsy is possible during TNE for all subsites within the upper aerodigestive tract.

Unknown primary tumors

2011 ◽  
Vol 1816 (1) ◽  
pp. 13-24 ◽  
Author(s):  
C. Natoli ◽  
V. Ramazzotti ◽  
O. Nappi ◽  
P. Giacomini ◽  
S. Palmeri ◽  
...  
Keyword(s):  
Unknown Primary ◽  
Primary Tumors ◽  
Unknown Primary Tumors
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