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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
2022-05-23 20:01:36
@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}},
}