[Malignant cervical epithelial adenopathy from unknown primary source. Apropos of a series of 54 cases].
Fifty four patients with cervical lymph node metastasis from an unknown primary tumor underwent treatment from 1969 to 1988. Fourty five underwent radical neck dissection. 69% had node capsular effraction and 36% perinodal vascular embolism. Thirty four patients underwent postoperative radiotherapy including rhinopharynx, cervical oesophagus and all the bilateral cervical nodes. The primary tumor appeared after treatment in 7 cases. Total survival rate is 36% 5 years after treatment. Vascular embolism aggravates the prognosis. Radiosurgical association allow effective control of loco-regional cancer but does not improve survival rate. Prognosis is aggravated by metastases arising (18%).
Clinique O.R.L. Pr. Charachon, CHU de Grenoble.
E
E
Reyt
P
P
Mouret
M
M
Bolla
C
C
Rhighini
J L
JL
Bosson
C
C
Junien-Lavillauroy
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009369:Neoplasms / Q000473:pathology; D009382:Neoplasms, Unknown Primary / Q000175:diagnosis*; D016019:Survival Analysis
Les adénopathies cervicales malignes épithéliales en apparence primitives. A propos d'une série de 54 cas.