unknown primary Flashcards
1
Q
If Level 1 nodes are positive
A
Oral cavity primary
2
Q
If Level II nodes are positive
A
Oropharynx primary
3
Q
If Level III nodes are positive
A
Subglottic, Larynx, Hypopharynx primary
4
Q
If Level IV nodes are positive
A
Lung or esophagus not H&N
5
Q
If Level V or RP nodes are positive
A
NPX or HPX
6
Q
If Level VI nodes are positive
A
Thyroid
7
Q
Work- up
A
FNA
CT
MRI
PET CT
EUA
Endoscopy
8
Q
If SCC then test for
A
EBV
HPV: P16+ve or -ve
9
Q
If Adenocarcinoma then think
A
Parotid or Thyroid so check for calcitonin and TG
10
Q
If Levels IV-V
A
Triple endoscopy
11
Q
If there is ECE+ve
A
Then CRT otherwise only PORT after neck dissection
12
Q
Staging
A
13
Q
ASCO Guidelines
A
if the node is P16+ve cover only Oropharynx
