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- Title
Transoral robotic surgery for the identification of unknown primary head and neck squamous cell carcinomas: Its effect on the wait and the weight.
- Authors
Alzahrani, Faisal; Sahovaler, Axel; Mundi, Neil; Rammal, Almoaidbellah; Fnais, Naif; MacNeil, S. Danielle; Mendez, Adrian; Yoo, John; Fung, Kevin; Laxague, Francisco; Warner, Andrew; Palma, David A.; Nichols, Anthony
- Abstract
Background: Neck carcinoma of unknown primary (CUP) is a frequent scenario. Transoral robotic mucosectomies (TORM) of pharynx have increased rate of primary identification, but come with cost of treatment delay. Methods: We reviewed patients who underwent CUP protocol from 2014 to 2020. Patients with cervical nodes carcinoma and failure to localize a primary source were classified as CUP. We determined primary identification rate and postoperative complications. Results: We included 65 patients underwent TORM. Surgical approach consisted of lingual and/or palatine tonsillectomies. The primary detection rate was 49.2%. Average weight reduction was 2.5 ± 4.3 kg. The average number of days from consultation to definitive treatment was 52.2 ± 18.3. Conclusion: A systematic approach to patients with CUP showed a promising primary identification rate compared to panendoscopy alone. TORM carries a small risk of complications. The benefits of primary identification must be weighed with the morbidity and delay to definitive treatment.
- Subjects
SURGICAL robots; SQUAMOUS cell carcinoma; TONSILLECTOMY; TREATMENT delay (Medicine); SURGICAL complications
- Publication
Head & Neck, 2022, Vol 44, Issue 5, p1206
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.27023