[Cervical metastatic adenopathy from the oropharynx cancer].
Cervical metastatic adenopathy represents quite often the first symptom in many cancers of the upper respiratory and digestive pathways and might be the first symptom in 20-25% of the oropharyngeal cancers.


METHODS
The study is based on 243 cases of oropharyngeal cancer admitted to the ENT Clinic, "Sf. Spiridon" Hospital Iaşi within the last ten years.


RESULTS
By analyzing the evolution of 243 cases of oropharyngeal cancer we conclude: because of the lack of symptoms, the alarming symptom is very often the cervical adenopathy so that the diagnosis is established in the late stages. On the other side, the abundance of the lymphatics of the pharynx make possible the metastatic adenopathy to show in the early stages of evolution of an oropharyngeal cancer.


CONCLUSIONS
Radical neck dissection followed by radiotherapy is proved to be so far, the optimal treatment for cervical metastatic adenopathy.
Neagu
Raluca
R
Clinica ORL, Spitalul Clinic Judeţean de Urgenţă "Sf. Spiridon", Iaşi.
Vonica
Sonia P
SP
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009959:Oropharyngeal Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D016896:Treatment Outcome