Protocolul de diagnostic pentru metastazele limfoganglionare laterocervicale cu punct de plecare neprecizat.
ENT private eye for unknown primary metastatic lymph nodes
Source: Romanian Journal of Medical Practice. In patients with CUP, no established concept exists for the necessary diagnostic procedures. In order to find the primary tumor, extensive diagnostic steps are generally recommended, however metastatic cancer of unknown primary are often not perform consistently.
Panendoscopy under anesthesia with blind biopsies from nasopharynx, tongue base, tonsil and piriform sinus are generally used. While the ability of CT to detect metastatic lymph nodes in head and neck tumors is quite acceptable, it is less so metastatic cancer of unknown primary correctly staging them, it is therefore necessary to look for other imaging tests that provide greater accuracy.
However, false-positive results remain a limitation of the investigation. Detection of the primary tumor has a key role in the management of patients with unknown primary tumors. English Copyright of Romanian Journal of Medical Practice is the property of Empire Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.
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