Transoral robotic approach to carcinoma of unknown primary.

Head & Neck Pub Date : 2014-06-01 Epub Date: 2013-09-02 DOI:10.1002/hed.23385

Kasim Durmus, Sanjeet V Rangarajan, Matthew O Old, Amit Agrawal, Theodoros N Teknos, Enver Ozer

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引用次数: 83

Abstract

Background: The management of carcinoma of unknown primary (CUP) is one of the challenging conditions in head and neck oncologic surgery. Despite various diagnostic tools, the primary tumor site in more than half of cases remains unidentified. The purpose of this study was to assess the feasibility and efficiency of utilizing transoral robotic surgery (TORS) for the diagnosis and treatment of CUP in the head and neck.

Methods: In this prospective, single-institutional, clinical TORS trial, 22 of 181 patients were treated for CUP between 2008 and 2012.

Results: Among all those 22 patients, primary tumor site identification and complete tumor removal was achieved in 17 patients (77.3%) with TORS. Tonsil (59.1%) and base of tongue (18.1%) were identified as the most common tumor locations.

Conclusion: Together with panendoscopy, directed biopsies, and positron emission tomography (PET)/CT, TORS is a valuable option in the identification and treatment of primary tumor sites.

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经口机器人入路治疗原发不明的癌。

背景:不明原发癌(CUP)的处理是头颈部肿瘤手术的难点之一。尽管有各种各样的诊断工具，但超过一半的病例的原发肿瘤部位仍未确定。本研究的目的是评估利用经口机器人手术(TORS)诊断和治疗头颈部CUP的可行性和效率。方法:在这项前瞻性、单机构、临床TORS试验中，181例患者中有22例在2008年至2012年期间接受了CUP治疗。结果:在22例患者中，17例(77.3%)患者经tor治疗后，原发肿瘤部位被发现并完全切除。扁桃体(59.1%)和舌根(18.1%)是最常见的肿瘤部位。结论:与全内镜、定向活检、正电子发射断层扫描(PET)/CT一起，TORS是鉴别和治疗原发性肿瘤部位的一种有价值的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Head & Neck

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