Laterocervical metastases from occult focus

Many cancers of the head and neck are characterized by an early spread to lymphatic structures. Some malignant cells can move through the lymphatic vessels and accumulate all ’ in a lymph node, where they can grow and give an inflammatory reaction that will increase the size of the lymph node/infectious and we speak then of Lymphadenopathy.
Some malignant tumors of the mucous membranes of the upper airways may remain asymptomatic and manifest themselves only to the appearance of very large also adenopathies.
Each lymph node of the grown region, outside a clear infectious/inflammatory environment, deserves a ENT specialist rating with exam fibroscopico.
Sometimes extremely meticulous examination not auks identifies the initial injury. It will therefore be necessary to carry out a study with neck ultrasound examination needle-aspirate dell ’ adenopathy. If cytological examination proves the presence of malignant cells, in the absence of a primary tumour, We speak then of metastases from occult focus.
And’ not very likely that a malignant epithelial (Carcinoma) I can originate from the same lymph node or from a brachial cyst is therefore always necessary to use all available means to look up a localized tumor in digestive tract mucosal plane-: fibroscopico examination will be repeated and you can count on CT/MRI, possibly also of PET.
Despite the accuracy of clinical and instrumental evaluation, remains a small proportion of patients in whom you are unable to identify the initial tumor, these patients will undergo proper protocol with help of radio and chemotherapy.