2016_Head & Neck COURSE BOOK

IDENTIFICATION OF THE PRIMARY TUMOR

TONSILLECTOMY Tonsillectomy has a role in the diagnostic work-up of CUP IT IS ESPECIALLY USEFUL WHEN LYMPH NODES ARE LOCATED IN THE UPPER AND/OR MIDDLE JUGULAR GROUP WITH A CYSTIC ASPECT Righini C.-A. et al Eur Ann Otol, 2014 IPSILATERAL TONSILLECTOMY IS WARRANTED AND YIELDS AN 18% TO 44.6% PRIMARY TUMOR DETECTION RATE . Strojan et al., Head Neck 2013 OTHER STUDIES RECOMMEND TO PERFORM BILATERAL TONSILLECTOMY IF THERE IS NO EVIDENCE OF A PRIMARY SITE ON PHYSICAL AND RADIOGRAPHIC EXAMINATION (CONTROLATERAL TUMORS IN 10-23%)

BILATERAL TONSILLECTOMY AVOID THE UPTAKE OF NORMAL TONSILLAR TISSUE DURING FOLLOW-UP

Lewis et al, Head and Neck Patol, 2015

Kothari et al., Br J Oral Maxillofac Surg 2008

mercoledì 29 giugno 16