MANAGEMENT OF METASTATIC CERVICAL NECK ADENOPATHY WITH

Abstract

Cervical neck lymphadenopathy having some special features requires special attention in terms of case management (technical and additional financial implications arising from diagnosis and effective treatment of the case). It requires also a multidisciplinary assessment which in principle includes: an overall assessment (routine investigations include: physical examination, pulmonary Rx, ECG, creatinine clearance, blood tests), a local assessment (physical examination and Rx, and metastasis detection: abdominal and chest CT, ultrasound, MRI, X-ray bone), an assessment of tumor extension (TNM staging). Next to the diagnosis, an effective treatment scheme must be developed, and applied followed by monitoring, disease control and supervision of the case, taking into account the fact that the treatment is often with complications (malfunction caused by the invasion and anatomical resection, complications of RX, chemotherapy), and the subsequent care should recover and rebuild and improve existing damage. These aspects of case management requires multidisciplinary teams and a well-organized system and one of the positive examples are the health networks that are organized around the patient with a particular pathology. Keywords: cervical neck limphadenopathy, metastasis, cancer, disease management