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Transoral robotic surgery in the management of head and neck squamous cell cancer with unknown primary

Nilsson, Johan S. LU ; Wahlberg, Peter LU and Greiff, Lennart LU (2020) In Acta Oto-Laryngologica 140(1). p.84-88
Abstract

Background: Transoral robotic surgery (TORS) assisted base of the tongue (BOT) resection has been suggested as part of the work-up for head and neck squamous cell cancer with unknown primary (HNSCC-CUP). Success rates vary with regard to identification of primary BOT lesions, and cases with likely such lesions appear to be included in previous reports. 

Objectives: To analyse the possible benefits of a superficial TORS-assisted BOT resection in thoroughly investigated HNSCC-CUP. 

Material and methods: Retrospectively, 13 patients subjected to superficial TORS-assisted BOT resections due to HNSCC-CUP, where previous thorough work-ups including PET-scans had been performed and primary lesions had still not been identified,... (More)

Background: Transoral robotic surgery (TORS) assisted base of the tongue (BOT) resection has been suggested as part of the work-up for head and neck squamous cell cancer with unknown primary (HNSCC-CUP). Success rates vary with regard to identification of primary BOT lesions, and cases with likely such lesions appear to be included in previous reports. 

Objectives: To analyse the possible benefits of a superficial TORS-assisted BOT resection in thoroughly investigated HNSCC-CUP. 

Material and methods: Retrospectively, 13 patients subjected to superficial TORS-assisted BOT resections due to HNSCC-CUP, where previous thorough work-ups including PET-scans had been performed and primary lesions had still not been identified, were reviewed. 

Results: Nodal status, according to the TNM-8 classification, was N1, N2, N2a, N2b, N2c, and N3, respectively, for 7, 1, 1, 4, 0, and 0 patients. In 38% of the cases, T1 BOT cancers were identified using superficial TORS-assisted BOT resections and treatments adjusted. 

Conclusion: Addition of a superficial TORS-assisted BOT resection to the work-up of HNSCC-CUP frequently identifies primary lesions and alters the treatment for this group of patients even after thorough work-up.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
CUP, head and neck cancer, squamous cell cancer, TORS, treatment
in
Acta Oto-Laryngologica
volume
140
issue
1
pages
5 pages
publisher
Taylor & Francis
external identifiers
  • pmid:31738643
  • scopus:85075184890
ISSN
0001-6489
DOI
10.1080/00016489.2019.1688863
language
English
LU publication?
yes
id
30b61e91-1f55-4ee4-8af3-ebccada31d77
date added to LUP
2019-12-11 16:36:09
date last changed
2020-02-10 13:04:37
@article{30b61e91-1f55-4ee4-8af3-ebccada31d77,
  abstract     = {<p>Background: Transoral robotic surgery (TORS) assisted base of the tongue (BOT) resection has been suggested as part of the work-up for head and neck squamous cell cancer with unknown primary (HNSCC-CUP). Success rates vary with regard to identification of primary BOT lesions, and cases with likely such lesions appear to be included in previous reports. </p><p>Objectives: To analyse the possible benefits of a superficial TORS-assisted BOT resection in thoroughly investigated HNSCC-CUP. </p><p>Material and methods: Retrospectively, 13 patients subjected to superficial TORS-assisted BOT resections due to HNSCC-CUP, where previous thorough work-ups including PET-scans had been performed and primary lesions had still not been identified, were reviewed. </p><p>Results: Nodal status, according to the TNM-8 classification, was N1, N2, N2a, N2b, N2c, and N3, respectively, for 7, 1, 1, 4, 0, and 0 patients. In 38% of the cases, T1 BOT cancers were identified using superficial TORS-assisted BOT resections and treatments adjusted. </p><p>Conclusion: Addition of a superficial TORS-assisted BOT resection to the work-up of HNSCC-CUP frequently identifies primary lesions and alters the treatment for this group of patients even after thorough work-up.</p>},
  author       = {Nilsson, Johan S. and Wahlberg, Peter and Greiff, Lennart},
  issn         = {0001-6489},
  language     = {eng},
  number       = {1},
  pages        = {84--88},
  publisher    = {Taylor & Francis},
  series       = {Acta Oto-Laryngologica},
  title        = {Transoral robotic surgery in the management of head and neck squamous cell cancer with unknown primary},
  url          = {http://dx.doi.org/10.1080/00016489.2019.1688863},
  doi          = {10.1080/00016489.2019.1688863},
  volume       = {140},
  year         = {2020},
}