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Procédures de chirurgie opératoire
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Évidement ganglionnaire cervical
Évidement ganglionnaire cervical : Questions médicales fréquentes
Diagnostic
5
Échographie
Tomodensitométrie
Lymphadénopathie
Symptômes
Symptômes
5
Symptômes
Lymphadénopathie
Infection
Lymphadénopathie
Traitements
5
Radiothérapie
Chimiothérapie
Soins post-opératoires
Chirurgie
Facteurs de risque
5
Facteurs de risque
Cancer
Facteurs de risque
Cancer
Facteurs de risque
Cancer
Antécédents familiaux
Cancer
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"description": "Comment diagnostiquer un cancer nécessitant un évidement ganglionnaire ?\nQuels tests sont utilisés pour évaluer les ganglions lymphatiques ?\nQuels signes cliniques indiquent un besoin d'évidement ?\nQuelle est l'importance de l'examen histologique ?\nQuand un scanner est-il recommandé ?",
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"name": "Comment diagnostiquer un cancer nécessitant un évidement ganglionnaire ?",
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"text": "Un diagnostic est établi par biopsie, imageries (IRM, TDM) et examens cliniques."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer les ganglions lymphatiques ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les échographies, TDM et IRM sont couramment utilisés pour évaluer les ganglions."
}
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{
"@type": "Question",
"name": "Quels signes cliniques indiquent un besoin d'évidement ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des ganglions enflés, durs ou douloureux peuvent indiquer un besoin d'évidement."
}
},
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"@type": "Question",
"name": "Quelle est l'importance de l'examen histologique ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'examen histologique permet de confirmer la présence de cellules cancéreuses dans les ganglions."
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},
{
"@type": "Question",
"name": "Quand un scanner est-il recommandé ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un scanner est recommandé pour évaluer l'extension du cancer et planifier l'intervention."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer un cancer du cou ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des ganglions enflés, douleur au cou, difficulté à avaler."
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{
"@type": "Question",
"name": "Comment se manifeste une infection des ganglions ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une infection peut provoquer douleur, rougeur, chaleur et gonflement des ganglions."
}
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{
"@type": "Question",
"name": "Quels signes d'alerte nécessitent une consultation rapide ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des ganglions persistants, une perte de poids inexpliquée ou des sueurs nocturnes sont alarmants."
}
},
{
"@type": "Question",
"name": "Les douleurs au cou sont-elles toujours liées à un cancer ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, les douleurs au cou peuvent être causées par diverses conditions, pas seulement le cancer."
}
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{
"@type": "Question",
"name": "Quels symptômes post-opératoires sont normaux ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un léger gonflement et des douleurs au site chirurgical sont normaux après l'intervention."
}
},
{
"@type": "Question",
"name": "Comment prévenir le cancer du cou ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter le tabac, limiter l'alcool et adopter une alimentation saine peuvent aider."
}
},
{
"@type": "Question",
"name": "Les vaccinations peuvent-elles aider ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la vaccination contre le HPV peut réduire le risque de cancers oropharyngés."
}
},
{
"@type": "Question",
"name": "Quel rôle joue le dépistage précoce ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le dépistage précoce permet de détecter le cancer à un stade plus traitable."
}
},
{
"@type": "Question",
"name": "Comment réduire le risque d'infections ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir une bonne hygiène buccale et éviter les contacts avec des personnes malades aide."
}
},
{
"@type": "Question",
"name": "Les examens réguliers sont-ils importants ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens réguliers permettent de détecter des anomalies précocement."
}
},
{
"@type": "Question",
"name": "Quel est le but de l'évidement ganglionnaire ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'évidement vise à retirer les ganglions lymphatiques affectés pour contrôler le cancer."
}
},
{
"@type": "Question",
"name": "Quels types d'évidement existent ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il existe l'évidement sélectif, radical et modéré, selon l'étendue de la maladie."
}
},
{
"@type": "Question",
"name": "Quelles sont les alternatives à l'évidement ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les alternatives incluent la radiothérapie et la chimiothérapie, selon le cas."
}
},
{
"@type": "Question",
"name": "Comment se déroule l'intervention chirurgicale ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'intervention se fait sous anesthésie générale, avec une incision pour retirer les ganglions."
}
},
{
"@type": "Question",
"name": "Quels soins sont nécessaires après l'évidement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des soins de plaie, gestion de la douleur et suivi médical sont nécessaires après l'opération."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles après l'évidement ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infections, saignements, et lésions nerveuses."
}
},
{
"@type": "Question",
"name": "Comment gérer une infection post-opératoire ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une infection peut nécessiter des antibiotiques et un suivi médical régulier."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une complication grave ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des douleurs intenses, fièvre élevée ou écoulement anormal doivent alerter."
}
},
{
"@type": "Question",
"name": "Les cicatrices sont-elles inévitables ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des cicatrices sont inévitables, mais leur apparence peut s'améliorer avec le temps."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivre les instructions post-opératoires et signaler tout symptôme anormal aide à prévenir."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque du cancer du cou ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les principaux facteurs incluent le tabagisme, l'alcool, et l'exposition au HPV."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque de cancer ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains cancers du cou sont plus fréquents chez les hommes que chez les femmes."
}
},
{
"@type": "Question",
"name": "L'âge joue-t-il un rôle dans le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque de cancer du cou augmente avec l'âge, surtout après 50 ans."
}
},
{
"@type": "Question",
"name": "Une mauvaise hygiène buccale est-elle un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une mauvaise hygiène buccale peut augmenter le risque de cancers oropharyngés."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de cancer augmentent le risque de développer un cancer."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 22/03/2025
Contenu vérifié selon les dernières recommandations médicales
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology, University of Pittsburgh, 203 Lothrop Street, Suite 500, Pittsburgh, PA 15213, USA; Department of Veterans Affairs, Pittsburgh Health System, University Drive C, Pittsburgh, PA 15240, USA. Electronic address: duvvuriu@upmc.edu.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Clinical Anatomy Research Association in Oral and Maxillofacial Surgery, Fukuoka, Japan.
Department of Oral and Maxillofacial Anatomy, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA.
Dental and Oral Medical Center, Kurume University School of Medicine, Fukuoka, Japan.
Division of Gross and Clinical Anatomy, Department of Anatomy, Kurume University School of Medicine, Fukuoka, Japan.
Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Clinical Anatomy Research Association in Oral and Maxillofacial Surgery, Fukuoka, Japan.
Department of Neurosurgery, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Neurology, Tulane Center for Clinical Neurosciences, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Structural & Cellular Biology, Tulane University School of Medicine, New Orleans, LA, USA.
Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, LA, USA.
Department of Anatomical Sciences, St. George's University, St. George's, Grenada.
Department of Surgery, Tulane University School of Medicine, New Orleans, LA, USA.
University of Queensland, Brisbane, Australia.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck, Maxillofacial Surgery, Israel.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck, Maxillofacial Surgery, Israel.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck, Maxillofacial Surgery, Israel.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Otolaryngology-Head and Neck, Maxillofacial Surgery, Israel.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC, USA.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Centre des Hautes Energies, Department of Radiotherapy, 06000 Nice, France.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of General Surgery, Division of Endocrine Surgery, University of Health Sciences Turkey, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of General Surgery, Sisli Memorial Hospital, Istanbul, Turkey.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of General Surgery, Division of Endocrine Surgery, University of Health Sciences Turkey, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
National Cancer Center Hospital, Tokyo, Japan.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Mayo Clinic, Rochester, Minnesota. Electronic address: strajina.veljko@mayo.edu.
Publications dans "Évidement ganglionnaire cervical" :
2 publications dans cette catégorie
Affiliations :
Department of Surgery, Mayo Clinic, Rochester, Minnesota.
Publications dans "Évidement ganglionnaire cervical" :
The cold scalpel/scissors (CS) and the monopolar electrocautery (ME) are still the most commonly used instruments for neck dissection in head and neck oncology. However, a direct comparison of these t...
A standard lateral neck dissection should yield at least 18 lymph nodes. The goal of the present study was to examine what factors might influence the number of lymph nodes retrieved during a neck dis...
This was a retrospective cohort study in a tertiary academic referral centre for head and neck oncology. Two hundred and nineteen consecutive neck dissections were examined. Age of the patient and pri...
The mean age was 62.2 ± 13.0 years. The most common primary site was the oral cavity (38.8 per cent). The mean number of lymph nodes was 30.63 ± 13.9. In total, 17.8 per cent had undergone previous ra...
Lymph node yield from a neck dissection is likely multi-factorial in nature. Previous radiotherapy, the only significant contributor, led to a mean reduction of lymph node yield from 33.3 to 18.5....
The significance of postoperative radiotherapy (PORT) to the neck for pN1 status head and neck squamous cell carcinomas (HNSCC) after neck dissection is unclear. A total of 208 patients with pN1 statu...
To investigate the survival benefit of elective neck dissection (END) over neck observation in cT1-4 N0M0 head and neck verrucous carcinoma (HNVC)....
Retrospective cohort study....
The 2006 to 2017 National Cancer Database....
Patients with surgically resected cT1-4 N0M0 HNVC were selected. Linear, binary logistic, Kaplan-Meier, and Cox proportional hazards regression models were utilized....
Of 1015 patients satisfying inclusion criteria, 223 (22.0%) underwent END. The majority of patients were male (55.4%) and white (91.0%) with disease of the oral cavity (67.6%) classified as low grade ...
END does not confer an appreciable survival benefit in HNVC, even after stratifying univariate and multivariate analyses by several patient, facility, tumor, and treatment characteristics....
Level 4....
The attenuation of retaining ligaments with aging leads to downward displacement of facial fat compartments and is responsible for many of the stigmata that occur with aging. The zygomatic cutaneous a...
Microvascular free flaps are frequently used for head and neck reconstruction after prior neck dissection (ND) and neck irradiation (RTX). The aim of this study was to investigate the influence of ND ...
To study the safety and efficacy of Artiss fibrin sealant in lateral neck dissection, focusing on drain retention time, length of hospital stay and post-operative complications....
A retrospective review was conducted of patients who underwent neck dissection in a UK hospital over a 12-month period....
Twenty-three patients were identified; 13 patients had Artiss and a drain, 10 patients had Artiss only. All drains were removed by post-operative day 2. No post-operative fluid collections or complica...
The use of Artiss reduced the drain retention time and hospital stay, with no post-operative complications. Neck dissection can be safely undertaken with no drain, and can potentially be carried out a...
Metachronous lateral neck recurrence after thyroidectomy for N1b papillary thyroid cancer is accompanied by high morbidity and increased difficulty of reoperation. From the perspective of recurrence, ...
This retrospective study involved 1,760 patients who underwent lateral neck dissection for papillary thyroid cancer at the Gangnam Severance Hospital, a tertiary medical center in Korea, from June 200...
A total of 1,613 patients underwent thyroidectomy and sLND at diagnosis. In 147 patients, thyroidectomy alone was performed at the time of diagnosis, and mLND was performed when recurrence to the late...
mLND is suitable for treating lateral neck recurrence in patients with N1b papillary thyroid cancer who previously underwent thyroidectomy. Lateral neck recurrence after treatment in patients who unde...
Selective neck dissection (SND) is the surgical treatment of choice in squamous cell carcinoma of the head and neck (HNSCC) with suspected or manifest metastases in the cervical lymph nodes. For SND t...
We conducted a retrospective review of SND as part of primary treatment of HNSCC. Overall survival (OS) and regional control rates (RCR) were calculated for all patients treated at one academic tertia...
661 patients with HNSCC were included, 644 underwent ipsilateral and 319 contralateral SND. Average follow-up was 78.9 ± 106.4 months. 67 (10.1%) patients eventually developed nodal recurrence. Tumor ...
The dissection of ipsilateral level I in oral cavity cancer was of particular relevance in our exploratory, retrospective analysis. To clarify the relevance for the determination of the extent of SND,...
Mucosal melanoma (MM) is a rare malignancy that can present in the head and neck (H&N). The Oral cavity is the second most common primary site in the H&N after sinonasal mucosa. This study investigate...
The National Cancer Database was used to evaluate 432 patients with oral cavity MM from 2004 to 2016. Kaplan-Meir and Cox regression analyses were used to determine variables associated with survival....
The mean age was 64.0 ± 16.0 years. Most patients were white (85.1%) and male (60.0%). Gingiva (37.6%) and hard palate (36.1%) were the most common primary subsites in the oral cavity. Five-year overa...
Oral cavity MM has a poor prognosis. Lymph node involvement, distant metastasis, age, race, and male sex are associated with worse outcomes. Performing an END did not improve survival. However, END ma...
4 Laryngoscope, 133:317-326, 2023....