EVALUATION OF SITE OF PRIMARY MALIGNANCY IN PATIENTS WITH SECONDARIES NECK: A CLINICAL STUDY

Dr. Sheeba Rana; Dr. Vaibhav Kuchhal; Dr. Bhawana Pant; Dr Rashmi Pal; Dr Shruti Goyal

Volume : IX, Issue : III, March - 2019

EVALUATION OF SITE OF PRIMARY MALIGNANCY IN PATIENTS WITH SECONDARIES NECK: A CLINICAL STUDY

Dr. Sheeba Rana, Dr. Vaibhav Kuchhal, Dr. Bhawana Pant, Dr Rashmi Pal, Dr Shruti Goyal

Abstract :

Introduction :Head and neck cancers form the 5th most common cancer type and cause for cancer related deaths worldwide. Many tumors within the head and neck will at some stage metastasize to lymph nodes . Sometimes enlarged neck nodes is the first clinical presentation. Survival of patient depends on extent and site of primary and size and level of lymph nodes involved. Objective: To study and evaluate the site of primary malignancy in cases of patient’s presenting with secondaries in neck region. Material and method: This was a cross–sectional study done in Government Medical College, Haldwani in patients presenting with neck secondaries with unknown primary, from October 2016 to September 2018. Results: Age group most commonly involved was 51–70 years with male dominance. N1 was the most common node involved followed by N2, N3. In neck nodes most frequently involved was level II followed by level l. In neck secondaries , primary most commonly detected from oropharynx followed by larynx. Conclusion: Contrary to previous studies, which showed that most common secondaries of neck are from larynx, our study showed that most common involvement is of oropharynx followed by larynx. Majority of primary biopsies showed squamous cell carcinoma in histopathological examination