Kang Stephen Y, Dziegielewski Peter T, Old Matthew O, Ozer Enver
Department of Otolaryngology-Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, Ohio.
J Surg Oncol. 2015 Dec;112(7):697-701. doi: 10.1002/jso.24027. Epub 2015 Oct 6.
Multiple diagnostic and treatment paradigms exist for the management of carcinoma of unknown primary (CUP) metastatic to cervical lymph nodes. Transoral robotic surgery (TORS) has emerged as a modality for diagnosis and treatment of CUP, optimizing identification and resection of the primary tumor, although also preventing chemotherapy in a subset of patients. This article presents the authors' treatment paradigm and reviews the literature supporting the use of TORS in the management of CUP.
对于转移至颈部淋巴结的原发灶不明癌（CUP），存在多种诊断和治疗模式。经口机器人手术（TORS）已成为一种用于CUP诊断和治疗的方式，它能优化原发肿瘤的识别和切除，不过也使得一部分患者无法接受化疗。本文介绍了作者的治疗模式，并综述了支持TORS用于CUP治疗的文献。
