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TONSILLECTOMY
Tonsillectomy has a role in the diagnostic work-up of CUP
IT IS ESPECIALLY USEFUL WHEN LYMPH NODES ARE LOCATED IN THE
UPPER AND/OR MIDDLE JUGULAR GROUP WITH A CYSTIC ASPECT
Righini C.-A. et al Eur Ann Otol, 2014
IPSILATERAL
TONSILLECTOMY
IS WARRANTED AND YIELDS AN
18% TO 44.6% PRIMARY TUMOR DETECTION RATE
.
Strojan et al., Head Neck 2013
OTHER STUDIES RECOMMEND TO PERFORM
BILATERAL
TONSILLECTOMY IF THERE IS NO EVIDENCE OF A PRIMARY SITE ON
PHYSICAL AND RADIOGRAPHIC EXAMINATION (CONTROLATERAL
TUMORS IN 10-23%)
Kothari et al., Br J Oral Maxillofac Surg 2008
RANDOM BIOPSIES
OF NASOPHARYNX AND
HYPOPHARYNX ARE
NOT NECESSARY
IN THE
WORK-UP OF CUP
Mendenhall W. M. et al., Head Neck 2015
Lewis et al, Head and Neck Patol, 2015
BILATERAL TONSILLECTOMY AVOID
THE UPTAKE OF NORMAL
TONSILLAR TISSUE DURING
FOLLOW-UP
IDENTIFICATION OF THE PRIMARY TUMOR
mercoledì 29 giugno 16