Transoral robotic surgery in the management of head and neck squamous cell cancer with unknown primary
(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
- Nilsson, Johan S. LU ; Wahlberg, Peter LU and Greiff, Lennart LU
- organization
- publishing date
- 2020
- 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
- 2024-04-17 00:50:55
@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}},
keywords = {{CUP; head and neck cancer; squamous cell cancer; TORS; treatment}},
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}},
}