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Procédures de chirurgie opératoire
Procédures de chirurgie oto-rhino-laryngologique
Évidement ganglionnaire cervical
Évidement ganglionnaire cervical : Questions médicales fréquentes
Termes MeSH sélectionnés :
Hypothalamo-Hypophyseal System
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."
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},
{
"@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."
}
},
{
"@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."
}
},
{
"@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."
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{
"@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,
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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" :
Psoriasis is an immune-mediated, chronic inflammatory disease affecting mainly the skin. Chronic stress leads to the blunted hypothalamic-pituitary-adrenal axis (HPA) that might induce pro-inflammator...
This cross-sectional study included 45 patients with psoriasis and 45 age and gender-matched apparently healthy volunteers (n = 45). IL-17, cortisol, and adrenocorticotrophic hormone (ACTH) levels wer...
Patients with psoriasis had higher levels of IL-17 and ACTH and lower levels of cortisol, as compared to controls. Stress scores (PSS, PSLE & DHUS) were significantly elevated in cases, as compared to...
Psoriasis patients having high ACTH, IL-17 and stress scores had lower levels of cortisol, indicating a dysregulated HPA axis with the pro-inflammatory state. This might lead to exacerbation of psoria...
JOURNAL/nrgr/04.03/01300535-202410000-00026/figure1/v/2024-02-06T055622Z/r/image-tiff Previous studies have shown that growth hormone can regulate hypothalamic energy metabolism, stress, and hormone r...
Hypophysitis is considered a rare inflammatory disease of the pituitary gland. For a long time, primary autoimmune hypophysitis has stood out as the most relevant type of hypophysitis. However, with t...
In this review, we discuss the epidemiology, diagnosis, and treatment of hypophysitis with a focus on recent data and highlight subtypes of particular interest while recognizing the gaps in knowledge ...
Regardless of cause, symptoms and signs of hypophysitis may be related to mass effect (headache and visual disturbance) and hormonal disruption that warrant prompt evaluation. In the vast majority of ...
Although subtle differences currently exist in management and outcome expectations between primary and secondary causes of hypophysitis, universally, treatment is aimed at symptom management and hormo...
This study aimed to investigate the effects of post-traumatic stress, caused by a strong earthquake, on the hypothalamo-pituitary-adrenal axis (HPA) and autonomous nervous system activity (ANS). Activ...
Kisspeptin is an endogenous peptide hormone that is the most potent stimulator of the hypothalamo-pituitary-gonadal (HPG) axis. The HPG axis can be suppressed by the activation of the hypothalamo-pitu...
Hypophysitis can clinically and radiologically mimic other nonfunctioning masses of the sella turcica, complicating preoperative diagnosis. While sellar masses may be treated surgically, hypophysitis ...
A thorough literature review identified published hypophysitis cases, which were compared to a retrospective group of non-functioning pituitary adenomas (NFA) from our institution. A preoperative hypo...
Fifty-six pathologically confirmed hypophysitis cases were identified in the literature. After excluding individual cases with missing values, 18 hypophysitis cases were compared to an age- and sex-ma...
The proposed scoring system may aid preoperative diagnosis of hypophysitis, preventing unnecessary surgery in these patients....
Kisspeptin is an important hormone involved in the stimulation of the hypothalamo-pituitary gonadal (HPG) axis. The HPG axis can be suppressed in certain conditions such as stress, which gives rise to...
Posttraumatic stress disorder (PTSD) does not only have direct consequences for well-being, but it also comes with a significant risk for severe somatic health consequences. A number of previous studi...
Immune checkpoint inhibitors (ICIs) are revolutionary in oncology but may cause immune-related (IR) side effects, such as hypophysitis. Treatment with anti-PD-(L)1, anti-CTLA-4 or anti-CLTA-4/PD-1 may...
retrospective analysis of 67 patients (27 anti-PD-(L)1, 6 anti-CLTA-4 and 34 anti-CTLA-4/PD-1 induced hypophysitis)....
The median time between starting ICIs and IR-hypophysitis was longer after anti-PD(L)-1) therapy (22 weeks versus 11 and 14 weeks after anti-CTLA-4 and anti-CTLA-4/PD-1 therapy, respectively). The maj...
The clinical presentation of IR-hypophysitis varies depending on the type of ICIs. MRI abnormalities were only seen in anti-CTLA-4 or anti-CTLA-4/PD-1 induced hypophysitis. Endocrine recovery is seen ...
An unhealthy lifestyle has a critical role in the pathogenesis and course of several chronic disorders. It has been hypothesized that lifestyle may also impact biological systems involved in stress re...