David Sher
David Sher/utswmed.org

David Sher shared Meta-Analysis of Tonsillar SCCa Surgery

David Sher, Vice Chair of Clinical Operations and Quality, Medical Director of Radiation Oncology, Chief of Head and Neck Radiation Oncology Service at UTSW Medical Center, shared JAMA Otolaryngology – Head and Neck Surgery’s post on X, adding:

Very useful data. Now, it’s time to generalize these conclusions to the unknown primary diagnostic work-up. The likelihood that a contralateral tonsil cancer generated the malignant adenopathy is too trivial to warrant bilateral tonsillectomies to find the primary, and oropharyngeal stenosis is more common following the more extensive surgery and radiation.

Quoting JAMA Otolaryngology – Head and Neck Surgery’s post:

Systematic review and meta-analysis: Omitting contralateral elective extracapsular tonsillectomy in tonsillar SCCa is safe, with low metachronous contralateral second primary tumor rates and no difference in survival outcomes. Read full article here. Andrew Peterson””

 

David Sher

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