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Doctor insights on: Radical Neck Dissection

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Describe a radical neck dissection?

Describe a radical neck dissection?

Remove lymph nodes: The radical neck, or more commonly modified radical neck operation is mostly done for cancers of the head and neck. It is done to remove the lymph nodes from the neck that might harbor tumor cells, or clearly are positive for cancer. ...Read more

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What are radical or modified neck dissection?

What are radical or modified neck dissection?

Consult ENT : I am not an ENT doctor, but this is in general a reference to surgery done for cancer in the neck. And has to do with the extent of surgical removal with 'radical' being a more aggressive surgery with removal of lymph nodes etc, and modified usually being confined to clear margins. Please ask an ENT surgeon for the best input. ...Read more

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What is a radical neck dissection for?

What is a radical neck dissection for?

Remove lymph nodes: This is a procedure that removes all of the lymphatic tissue in the neck. A radical neck involved removing the jugular vein, muscles, and some nerves as well. Currently surgeons performed a modified radical neck which preserves most of these structures. This procedure is performed to remove metastatic disease of the neck. ...Read more

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One enlarged supraclavicular lymph node after radiation to chest wall and neck?

One enlarged supraclavicular lymph node after radiation to chest wall and neck?

Bothersome!: You didn't note whether it was there before the radiation. If not, a fna(fine needle aspiration) needs to be done to see what's goig on. Good luck! ...Read more

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Stroke in occipital lobe following cervical spine surgery?

Stroke in occipital lobe following cervical spine surgery?

Vertebral Artery: This can be a consequence of injury to the vertebral artery. This can be from direct manipulation, positioning or spontaneous. Further diagnostic workup can include angiography. ...Read more

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Can carotid artery dissection be cured?

Can carotid artery dissection be cured?

Yes: The vast majority of carotid dissections will heal in their own. The dissection should be followed with ultrasound to monitor the vessel for development of pseudo aneurysm formation. ...Read more

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Is vertebral artery dissection curable?

Is vertebral artery dissection curable?

Generally not: The 2 vertebral arteries arise from the left and right subclavian arteries and supply the brainstem and cerebellum. Dissection is rare (2.5/100, 000), affect women to men 3:1 and can cause stroke in people head trauma, yoga, painting a ceiling. 50% have hbp. Treatment is supportive. Blood thinners are used if bleeding is ruled out. Surgery is not usually an option. ...Read more

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MRI neck show bilateral II & III lymph nodes 1 CM & larger. Jugulodigastric l-node 1.5 cm. leukoplakia, OSA, neck pain, migraines,Fatigue. Concern?

MRI neck show bilateral  II & III lymph nodes 1 CM & larger. Jugulodigastric l-node 1.5 cm.  leukoplakia, OSA,  neck pain, migraines,Fatigue. Concern?

R/O OSA: OSA CAN BE LIFE THREATENING. The definitive test is a PSG with split night/CPAP titration. I would request copy of sleep study and get a second opinion if you are not satisfied with the options. You are young CPAP can be difficult to tolerate. ENT FOR UPP EVAL.VS HYPID SUSPENSION. PERSISTENT LYMPHADENOPATHY DEMANDS BX. If BX is - YOU NEED A RADICAL NECK DISSECTION to R/O LYMPHOMA . ...Read more

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Have enlarged lymph nodes(back of neck), bilateral jugular chain adenopathy, face pain, headaches, pressure in face, can't breathe through nose.

Have enlarged lymph nodes(back of neck), bilateral jugular chain adenopathy, face pain, headaches, pressure in face, can't breathe through nose.

Sinus issues: Your symptoms sound as though you have sinus issues and most likely infection. Allergies may also be contributing to your problems. Sinus or other upper respiratory infections can certainly be a cause of lymphadenopathy in the neck. I would rec you see a medical provider as you may require antibiotics to help eliminate these symptoms. Good luck ...Read more

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Nodule in lthyroid vth faint focal calcification.Multiple enlargd lymph nodes l cervicl regn.Surgicl lvl3.Biopsy-bloody.Treatmnt vthout sugry?Ca risk?

Nodule in lthyroid vth faint focal calcification.Multiple enlargd lymph nodes l cervicl regn.Surgicl lvl3.Biopsy-bloody.Treatmnt vthout sugry?Ca risk?

First, right diagno: You have to see your doctor. Before any treatment you need to have fine needle aspiration procedure for diagnosis. It could be benign nodular goiter with calcifications, could be malignancy. Fine needle aspiration - good for palpable lymph nodes too. Thank you for question. ...Read more

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Haw bad is metastatic prostate cancer to a neck lymph node?

Haw bad is metastatic prostate cancer to a neck lymph node?

Second opinion: Please consider a second opinion to confirm if the neck node is metastatic cancer from prostate. It is unusual (though not unheard of) for prostate cancer to skip pelvic nodes and bones and skip straight to a neck node. ...Read more

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Non calcified lung nodule brac1+ history of breast ca in 08 bilat mastectomy is this nodule ca? Enlarged lymph in neck and axil. Hoarse

Non calcified lung nodule brac1+ history of breast ca in 08 bilat mastectomy is this nodule ca? Enlarged lymph in neck and axil. Hoarse

See your doctor: None of us can answer this question without looking at the scans and examining you in person. This is best answered by your oncologist and surgeon. I highly recommend that you make an appointment and get evaluated and have a conversation with them. Good luck with everything. ...Read more

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Is the radical lymph node dissection a risky thing to do?

Is the radical lymph node dissection a risky thing to do?

Not necessarily: Performed by a well trained surgeon, radical lymph node surgery is not a major procedure. It could be an outpatient surgery, unless a deep intra-abdominal surgery is planned. There can be nerve numbness or swelling after surgery that is usually temporary. ...Read more

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Post neck dissection and head lesion removal. Mets from head to neck. Path results: malignant epithelioid and spindle cell neoplasm-english please. ?

Post neck dissection and head lesion removal. Mets from head to neck. Path results: malignant epithelioid and spindle cell neoplasm-english please. ?

Provisional: This is a preliminary report while the pathologist does more work to get the exact nature of the tumor settled down. I suspect this will turn out to be a carcinosarcoma. This is a difficult case and your physician will probably want several pathologists' signatures on the final report. ...Read more

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Nodule in l thyroid vth faint focal calcification, multiple enlargd lymph nodes in l cervical regn(surgical level3).Papillary carcinoma vth metastasis?

Nodule in l thyroid vth faint focal calcification, multiple enlargd lymph nodes in l cervical regn(surgical level3).Papillary carcinoma vth metastasis?

Thyroid cancer: Did you have a biopsy? An fna (fine needle aspirate) could be performed where a thin needle is used to collect cells from the thyroid nodule. This sample is sent to a pathologist for examination. The presence of multiple nodes is concerning and deserves further workup. Hope this helps. Papillary carcinoma is common and treatable. ...Read more

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How long of surgery is pelvic lymph node dissection take?

How long of surgery is pelvic lymph node dissection take?

Maybe: About an hour. Could take longer depending on the extent or amount of lymph nodes or anatomic regions that may need to be dissected. ...Read more

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How risky is clogged neck artery surgery?

How risky is clogged neck artery surgery?

Not very.: Carotid endarterectomy, in qualified hands, should be problem free over 94% of the time. In some patients, the risk is even lower. Usually, the cea operation is recommended when the risk of not doing it is higher. Surgery is far and away the safest option; complication rates are higher with other techniques. ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck ( TURBN ) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more