UNKNOWN PRIMARY CARCINOMA HEAD & NECK- INCIDENCE IN METASTATIC CERVICAL LYMPHADENOPATHY AT A TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.33279/jkcd.v9i03.380Keywords:
Unknown Primary, Neck Metastasis, Cervical lymphadenopathy, Neck nodes, Squamous cell carcinoma, Incidence, Head & NeckAbstract
Objective: To find the incidence of unknown primary carcinoma head & neck in patients presenting with metastatic cervical lymphadenopathy.
Materials & Methods:This case-control study was conducted at the Department of ENT, Head & Neck Surgery, Pakistan Institute of Medical Sciences, Islamabad. The duration of the study was three years from April 2013 to April 2016. A total of 86 patients were included in the study. Detailed history, examination, laboratory tests, imaging studies, endoscopies and biopsies of patients included in the study were performed. The frequency of patients with no primary lesion was noted.
Results: 86 cases were included in our study. Obvious lesions were found in 67.4% patients, while in 32.5%, no primary lesion was found after complete workup. Nasopharynx was the most frequent primary site involved. Level II nodes were the most frequent neck nodes involved. 7% of patients remained undiagnosed after complete workup.
Conclusion: The incidence of unknown primary carcinoma was found to be seven percent among the patients who presented with metastatic cervical lymphadenopathy.
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Copyright (c) 2019 Muhammad Junaid, Altaf Hussain, Muhammad Khalid, Muhammad Umair, Imran Khan, Imran Khan, Hasan Shafi

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