Cervical lymph node metastases from remote primary tumor sites
Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumor...
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| Published in | Head & neck Vol. 38; no. S1; pp. E2374 - E2385 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Blackwell Publishing Ltd
01.04.2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1043-3074 1097-0347 1097-0347 |
| DOI | 10.1002/hed.24344 |
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| Abstract | Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F‐fluoro‐2‐deoxyglocose positron emission tomography combined with CT (FDG‐PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2374–E2385, 2016 |
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| AbstractList | Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2374-E2385, 2016.Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2374-E2385, 2016. Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F‐fluoro‐2‐deoxyglocose positron emission tomography combined with CT (FDG‐PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38 : E2374–E2385, 2016 Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2374-E2385, 2016. Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F‐fluoro‐2‐deoxyglocose positron emission tomography combined with CT (FDG‐PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. © 2015 Wiley Periodicals, Inc. Head Neck 38: E2374–E2385, 2016 |
| Author | Haigentz Jr, Missak Shaha, Ashok R. Hartl, Dana M. Strojan, Primož Ferlito, Alfio Takes, Robert P. Robbins, K. Thomas Silver, Carl E. López, Fernando Mendenhall, William M. Suárez, Carlos Werner, Jochen A. Hamoir, Marc Rinaldo, Alessandra Bishop, Justin A. Bradley, Patrick J. Rodrigo, Juan P. |
| AuthorAffiliation | 4 Departments of Medicine (Oncology) and Otorhinolaryngology–Head & Neck Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York 15 Department of Otolaryngology, Head and Neck Surgery, Marburg, Germany 8 Laboratoire de Phonétique et de Phonologie, Sorbonne Nouvelle, Paris, France 2 University of Oviedo, Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Spain 3 Departments of Surgery and Otolaryngology, Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 5 Departments of Pathology, The Johns Hopkins University, Baltimore, Maryland 10 Department of Radiation Oncology, University of Florida, Gainesville, Florida 16 University of Udine School of Medicine, Udine, Italy 11 Department of Otolaryngology–Head and Neck Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands 12 Department of Head and Neck Surgery, Head and Neck Oncology Program, St Luc University Hospital and Ca |
| AuthorAffiliation_xml | – name: 5 Departments of Pathology, The Johns Hopkins University, Baltimore, Maryland – name: 8 Laboratoire de Phonétique et de Phonologie, Sorbonne Nouvelle, Paris, France – name: 11 Department of Otolaryngology–Head and Neck Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands – name: 3 Departments of Surgery and Otolaryngology, Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York – name: 16 University of Udine School of Medicine, Udine, Italy – name: 7 Department of Otolaryngology–Head and Neck Surgery, Institut Gustave Roussy, Villejuif Cedex, France – name: 13 Division of Otolaryngology–Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois – name: 4 Departments of Medicine (Oncology) and Otorhinolaryngology–Head & Neck Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York – name: 10 Department of Radiation Oncology, University of Florida, Gainesville, Florida – name: 1 Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain – name: 2 University of Oviedo, Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Spain – name: 15 Department of Otolaryngology, Head and Neck Surgery, Marburg, Germany – name: 9 Department of Otolaryngology–Head and Neck Surgery, Nottingham University Hospitals, Queens Medical Centre Campus, Nottingham, United Kingdom – name: 6 Department of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia – name: 14 Head and Neck Service, Memorial Sloan–Kettering Cancer Center, New York, New York – name: 12 Department of Head and Neck Surgery, Head and Neck Oncology Program, St Luc University Hospital and Cancer Center, Brussels, Belgium |
| Author_xml | – sequence: 1 givenname: Fernando surname: López fullname: López, Fernando email: flopez_1981@yahoo.es organization: Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain – sequence: 2 givenname: Juan P. surname: Rodrigo fullname: Rodrigo, Juan P. organization: Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain – sequence: 3 givenname: Carl E. surname: Silver fullname: Silver, Carl E. organization: Departments of Surgery and Otolaryngology, Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, Bronx – sequence: 4 givenname: Missak surname: Haigentz Jr fullname: Haigentz Jr, Missak organization: Departments of Medicine (Oncology) and Otorhinolaryngology-Head & Neck Surgery, Albert Einstein College of Medicine/Montefiore Medical Center, New York, Bronx – sequence: 5 givenname: Justin A. surname: Bishop fullname: Bishop, Justin A. organization: Departments of Pathology, The Johns Hopkins University, Maryland, Baltimore – sequence: 6 givenname: Primož surname: Strojan fullname: Strojan, Primož organization: Department of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia – sequence: 7 givenname: Dana M. surname: Hartl fullname: Hartl, Dana M. organization: Department of Otolaryngology-Head and Neck Surgery, Institut Gustave Roussy, Villejuif Cedex, France – sequence: 8 givenname: Patrick J. surname: Bradley fullname: Bradley, Patrick J. organization: Department of Otolaryngology-Head and Neck Surgery, Nottingham University Hospitals, Queens Medical Centre Campus, Nottingham, United Kingdom – sequence: 9 givenname: William M. surname: Mendenhall fullname: Mendenhall, William M. organization: Department of Radiation Oncology, University of Florida, Florida, Gainesville – sequence: 10 givenname: Carlos surname: Suárez fullname: Suárez, Carlos organization: University of Oviedo, Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Spain – sequence: 11 givenname: Robert P. surname: Takes fullname: Takes, Robert P. organization: Department of Otolaryngology-Head and Neck Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands – sequence: 12 givenname: Marc surname: Hamoir fullname: Hamoir, Marc organization: Department of Head and Neck Surgery, Head and Neck Oncology Program, St Luc University Hospital and Cancer Center, Brussels, Belgium – sequence: 13 givenname: K. Thomas surname: Robbins fullname: Robbins, K. Thomas organization: Division of Otolaryngology-Head and Neck Surgery, Southern Illinois University School of Medicine, Illinois, Springfield – sequence: 14 givenname: Ashok R. surname: Shaha fullname: Shaha, Ashok R. organization: Head and Neck Service, Memorial Sloan-Kettering Cancer Center, New York, New York – sequence: 15 givenname: Jochen A. surname: Werner fullname: Werner, Jochen A. organization: Department of Otolaryngology, Head and Neck Surgery, Marburg, Germany – sequence: 16 givenname: Alessandra surname: Rinaldo fullname: Rinaldo, Alessandra organization: University of Udine School of Medicine, Udine, Italy – sequence: 17 givenname: Alfio surname: Ferlito fullname: Ferlito, Alfio organization: Coordinator of the International Head and Neck Scientific Group |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/26713674$$D View this record in MEDLINE/PubMed |
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| Keywords | unknown primary diagnosis neck dissection non-head and neck cancer cervical lymph node |
| Language | English |
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| Notes | ArticleID:HED24344 istex:0E224881379CAF0F6A1D5A7FD183FBEF9FC52FBD ark:/67375/WNG-QSK7L10S-7 This article was written by members and invitees of the International Head and Neck Scientific Group This article was published online 29 Dec 2015. A footnote has been added to denote change in authors affiliations. This notice is included to indicate the article has been corrected. www.IHNSG.com . ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 Coordinator of the International Head and Neck Scientific Group. |
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| PublicationDate | April 2016 |
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| PublicationDate_xml | – month: 04 year: 2016 text: April 2016 |
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| PublicationPlace | United States |
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| PublicationTitle | Head & neck |
| PublicationTitleAlternate | Head Neck |
| PublicationYear | 2016 |
| Publisher | Blackwell Publishing Ltd |
| Publisher_xml | – name: Blackwell Publishing Ltd |
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| Snippet | Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from... |
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| SubjectTerms | cervical lymph node diagnosis Fluorodeoxyglucose F18 Head and Neck Neoplasms - pathology Humans Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphatic Metastasis - diagnostic imaging neck dissection non-head and neck cancer Positron Emission Tomography Computed Tomography Radiopharmaceuticals unknown primary |
| Title | Cervical lymph node metastases from remote primary tumor sites |
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