What is a radical neck dissection? when is it done?

What is a radical neck dissection? The surgeon removes a block of tissue from the collarbone to the jaw and from the front to the back of the neck. The large muscle on the side of the neck that is used for rotating, flexing or extending the neck is also taken out, along with the major vein on the side of the neck. Sometimes, a less drastic operation, called a supraomohyoid neck dissection is done. This takes out only the lymph nodes, the tissue surrounding the nodes and a muscle at the front of the neck. Another technique, called a functional neck dissection, saves the muscles of the neck, taking out only the lymph nodes and tissues surrounding them.
What kind of incision is made with a radical neck dissection? The incision depends upon what the surgery is for. It can run from below the ear to the collarbone. Everything in the front of the neck on one side or on both sides may be removed. This may include the lymph nodes, blood vessels, nerves, and the salivary gland under the jawbone.

Is choriocarcinoma spreading fast?

What is choriocarcinoma?

This is a rare type of cancer of the placenta, sometimes preceded by the appearance of a hydatidiform mole, which usually occurs during childbearing years. A microscopically similar cancer can occur as testicular cancer in men. It spreads very rapidly, metastasizes to other parts of the body particularly to the lungs and until 10 years ago was considered fatal. It was, however, the first malignancy which proved to be curable by chemotherapy after it had metastasized.
Today, thanks to the use of chemotherapy, these cancers are considered to be highly curable. However, since it is a rare disease, very few doctors outside treatment centers have had the opportunity to treat this type of cancer, and it is recommended that treatment be sought through a large medical center to ensure that the necessary expertise is available to handle the treatment. The cancer may start early in pregnancy, result in a miscarriage, and be followed by the development of a tumor. It may also occur after the delivery of a normal child. Physicians are able to cure between 95 and 100 percent ofwomen in whom the disease is detected in an early stage and 75 percent of women with advanced choriocarcinoma.

Side effects 

Clinically, cycle-autonomous vaginal draining and an absence of relapse of the uterus after birth are in the frontal area. Also, contingent upon the movement of the tumor, metastases (hematogen in the lungs, vagina, cerebrum, liver) with relating side effects can be found.


Research facility science shows an enormous increment in Beta-HCG. The tumor is recognized by curettage with resulting histological handling.


Contingent upon the level of danger, polychemotherapy. Okay: Curative polychemotherapy with methotrexate, actinomycin D, cyclophosphamide and etoposide. High Risk: Curative polychemotherapy with methotrexate, actinomycin D, cyclophosphamide and etoposide.

An endeavor is made to maintain a strategic distance from hysterectomy, yet this can be shown on account of exceptionally substantial seeping regardless of the subsequent sterility.


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