GENERAL-HOSPITAL EXPERIENCE IN TREATING NECK NODES FROM UNKNOWN PRIMARIES

BONO,A; ZURRIDA,S; CACIOPPO,C; FERRARI,M; GOTTARDI,O; CHIESA,F

doi:10.3892/ijo.2.4.649

GENERAL-HOSPITAL EXPERIENCE IN TREATING NECK NODES FROM UNKNOWN PRIMARIES

Authors:
- A BONO
- S ZURRIDA
- C CACIOPPO
- M FERRARI
- O GOTTARDI
- F CHIESA
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Affiliations: IST NAZL TUMORI,DIV SURG ONCOL B,VIA G VENEZIAN 1,I-20133 MILAN,ITALY. IST NAZL TUMORI,DIV DIAGNOST ONCOL,I-20133 MILAN,ITALY. IST NAZL TUMORI,OUTPATIENT CLIN,I-20133 MILAN,ITALY. OSPED NIGUARDA CA GRANDA,FALCK DIV MED ONCOL,MILAN,ITALY. IST NAZL TUMORI,DIV HEAD & NECK SURG ONCOL,I-20133 MILAN,ITALY.
Published online on: April 1, 1993 https://doi.org/10.3892/ijo.2.4.649
Pages: 649-651

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Abstract

Forty cases of cervical (excluding supraclavicular) node metastases from unknown primary tumors were observed at the medical oncology department of a large general hospital. Histologically they were epidermoid carcinoma (18 cases), undifferentiated carcinoma (16 cases) and adenocarcinoma (6 cases). In 8 patients the primary was subsequently diagnosed. Four patients were untreatable or refused treatment when diagnosed. The 3-year survival of the 36 treated patients was only 22% - indicating a poor prognosis is for this uncommon form of presentation. Patients should be treated as aggressively as possible in an attempt to eradicate the occult primary.