What is a radical autopsy of the neck?
Radical neck dissection (RND) is a surgical procedure used to control spinocellular carcinoma (SCC), cancer type, from head and neck tissues to lymph nodes in the throat. Surgery, created in 1906, removes lymph nodes into which cancer cells could be migrated. Because lymph nodes circulate the lymph throughout the body, mortality doubls if lymph nodes become cancer. RND is therefore extremely important in preventing cancer spread. It is only carried out on the affected side of the neck. All lymph nodes on this side of the neck are removed from the jaw or jaw to the collarbone. In addition, the RND involves removing the nerve of the spine, which controls the neck muscles, inner jugular vein and sternocleidomastoid muscle responsible for head rotation.
While a radical neck has a long history of success and is a well -designed surgery, has been improved in recent decades. Newer procedures retain some structures that areremoved at autopsy of a radical neck. In a modified radical neck dissection (MRND), one or more non-lymphatic structures such as jugular or complementary nerve are maintained. One or more lymph nodes are maintained in selective autopsy of the neck (SND). On the other hand, the extended neck dissection involves removing other structures that are retained in radical neck dissection.
In order to see if the patient can benefit from a radical neck of the neck, the doctor may perform a number of tests. In most cases, the patient is already aware of the mass or lesion in the throat. The first line of detection is Palpation, which is easy to do but not always accurate.
Imaging techniques, including computed tomography (CT), magnetic resonance imaging (MRI) and ultrasound can provide more reliable evidence of cancer in the lymph nodes. Finally, the most accurate but also the most invasive meansBiopsy and histological examination are for detection of cancer in the lymph nodes. Histological examination is also performed normally after the autopsy of the neck.
While radical neck dissection may be necessary while maintaining or prolonging the life of cancer patient, not all patients with cancer in the lymph nodes of the neck are good candidates for surgery. In patients with cardiopulmonary disease, especially in patients undergoing carotid arteries, surgery may pose too much risk. In addition, if imaging techniques reveal that cancer has spread outside the RND areas, the surgery is unlikely to benefit the patient and the risks prevailing over any benefits.