IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain

Print ISSN: 2581-5210

Online ISSN: 2581-5229

CODEN : IIJAAL

IP Indian Journal of Anatomy and Surgery of Head, Neck and Brain (IJASHNB) open access, peer-reviewed quarterly journal publishing since 2015 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing more...

Article type

Review Article


Article page

71-74


Authors Details

Akheel Mohammad*, Debajyoti Maiti, Ashmi Wadhwania


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Management of neck node with unknown primary - A review


Review Article

Author Details : Akheel Mohammad*, Debajyoti Maiti, Ashmi Wadhwania

Volume : 6, Issue : 3, Year : 2020

Article Page : 71-74

https://doi.org/10.18231/j.ijashnb.2020.021



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Abstract

Cancer of unknown primary site (CUP) is an intriguing clinical phenomenon seen in 3-9% of all Head and neck cancers. Neck node metastasis seen around 5-10% of all patients with CUP. Metastasis in upper and middle neck occurs from head and neck cancers. Where as metastasis to lower neck is associated with cancers below the clavicles like thyroid cancer, lung cancer, colon cancer and ovarian cancer. Diagnostic set up consist clinical evaluation, panendoscopy of upper aerodigestive tract, CT & MRI imaging, Biopsies (FNAB, open biopsy), molecular assay from all suspicious site. The optimal therapeutic management of patient with cervical CUP remains controversial due to absence of randomized studies comparing different treatment options. However NCCN has given a established guidelines for management of CUP. The major authors recommend surgical removal of neck disease, followed by post-operative radiotherapy alone or radio-chemotherapy.

Keywords: Unknown primary, Panendoscopy, Metastasis.


How to cite : Mohammad A , Maiti D, Wadhwania A, Management of neck node with unknown primary - A review. IP Indian J Anat Surg Head Neck Brain 2020;6(3):71-74

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