Malignant cervical epithelial adenopathy from unknown primary source. Apropos of a series of 54 cases
Reyt, E.; Mouret, P.; Bolla, M.; Rhighini, C.; Bosson, J.L.; Junien-Lavillauroy, C.
Revue de Laryngologie - Otologie - Rhinologie 113(2): 95-98
1992
ISSN/ISBN: 0035-1334 PMID: 1344528 Document Number: 393792
Fifty four patients with cervical lymph node metastasis from an unknown primary tumor underwent treatment from 1969 to 1988. Fourty five underwent radical neck dissection. 69% had node capsular effraction and 36% perinodal vascular embolism. Thirty four patients underwent postoperative radiotherapy including rhinopharynx, cervical oesophagus and all the bilateral cervical nodes. The primary tumor appeared after treatment in 7 cases. Total survival rate is 36% 5 years after treatment. Vascular embolism aggravates the prognosis. Radiosurgical association allow effective control of loco-regional cancer but does not improve survival rate. Prognosis is aggravated by metastases arising (18%).