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W. FRANKLIN KEIM, MD

Arch Otolaryngol. 1966;84(5):566-569.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE PROBLEM of a mass in the neck confronts the head and neck surgeon so frequently that he automatically searches the upper respiratory tract for a primary neoplasm even before giving his attention to the lesion which is the patient's immediate concern. If the node has already been biopsied through a surgical incision (as far too often happens), he is prone to condemn the individual who has failed first to look for a primary before entering the neck. In most instances one can find the source of the metastasis with little difficulty.

However, in a small percentage of cases no primary lesion can be found, even by careful repeated examination. This incidence ranges from 3%¹ to 9%² in studies of metastatic cervical lymph node cancer. Excluded, of course, are diseases of the lymphoma series which may involve these nodes.

Lacking a detectable primary—and one must assume that these . . . [Full Text PDF of this Article]

Author Affiliations
MONTCLAIR, NJ

From Presbyterian Hospital, Newark, NJ, and Mountainside Hospital, Montclair, NJ.

Footnotes
Submitted for publication July 1, 1966.

Read before the eighth annual meeting of the American Society for Head and Neck Surgery, April 22, 1966, San Juan, PR.

Reprint requests to 75 Union St, Montclair, NJ 07042.

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