Advances in the management of cervical lymphadenopathies of unknown primary: advances in diagnostic imaging and surgical modalities and new international staging system

Cervical lymphadenopathies of unknown primary represent 3 % of head and neck cancers. Their diagnostic work up has largely changed in recent years. This review provides an update on diagnostic developments and their potential therapeutic impact. This is a systematic review of the literature. In rece...

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Bibliographic Details
Published in:Bulletin du cancer Vol. 105; no. 2; p. 181
Main Authors: Troussier, Idriss, Klausner, Guillaume, Morinière, Sylvain, Blais, Eivind, Jean-Christophe Faivre, Champion, Ambroise, Geoffrois, Lionnel, Pflumio, Carole, Babin, Emmanuel, Maingon, Philippe, Thariat, Juliette
Format: Journal Article
Language:French
Published: France 01.02.2018
Subjects:
Antineoplastic Agents - therapeutic use
Biopsy, Fine-Needle
Carcinoma - diagnostic imaging
Carcinoma - secondary
Carcinoma - therapy
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - therapy
Carcinoma, Squamous Cell - virology
Chemoradiotherapy
Combined Modality Therapy - methods
Head and Neck Neoplasms - diagnostic imaging
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - therapy
Head and Neck Neoplasms - virology
Humans
Lymphatic Metastasis - diagnostic imaging
Lymphatic Metastasis - pathology
Neck
Neoplasm Staging - methods
Neoplasms, Unknown Primary - diagnostic imaging
Neoplasms, Unknown Primary - pathology
Neoplasms, Unknown Primary - therapy
Papillomaviridae - isolation & purification
Tonsillectomy
Robotic surgery
Lymphadenopathy
Adénopathie cervicale
Curage
Staging
Classification
Cancer primitif inconnu
Head and neck
Human papilloma virus
Chirurgie robotique
Unknown primary
Neck dissection
ISSN:1769-6917, 1769-6917
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Summary:Cervical lymphadenopathies of unknown primary represent 3 % of head and neck cancers. Their diagnostic work up has largely changed in recent years. This review provides an update on diagnostic developments and their potential therapeutic impact. This is a systematic review of the literature. In recent years, changes in epidemiology-based prognostic factors such as human papilloma virus (HPV) cancers, advances in imaging and minimally invasive surgery have been integrated in the management of cervical lymphadenopathies of unknown primary. In particular, systematic use of PET scanner and increasing practice of robotic or laser surgery have contributed to increasing detection rate of primary cancers. These allow more adapted and personalized treatments. The impact of changes in the eighth TNM staging system is discussed. The management of cervical lymphadenopathies of unknown primary cancer has changed significantly in the last 10 years. On the other hand, practice changes will have to be assessed.
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ISSN:1769-6917
1769-6917
DOI:10.1016/j.bulcan.2017.11.009