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Otolaryngology: Cervical lipoma — Surgical resection. Treatment

Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor of the nasopharynx, which is characteristic mainly for boys and young men. Structurally, it is composed of the fibrous tissue and thin-walled vessels, which are bleeding from time to time. The tumor is characterized by an aggressive course. Depending on the growth direction, over time it grows into the nasal cavity, paranasal sinuses and skull base, creating a threat to the patient’s life. The major treatment option is surgery. In some cases, the radiation techniques may be used.
Surgery

The choice of the surgical technique depends on the formation size:

  1. For small tumors, surgery can be performed endoscopically through the natural orifices (mouth or nose). Such an intervention can minimize the tissue trauma.
  2. Another option of removing small JNA is through the palate. The surgeon makes a horseshoe-shaped incision on the upper edge of the gums, excises a portion of the palate on the affected side, and then resects the tumor. Such an access provides a broad overview of the nasopharynx.
  3. Medial tumors, which invaded the nasal cavity or orbit, are removed through the maxillary sinus. The incision in this case is made under the upper lip.
  4. Large JNA, invading the base of the skull, are dissected through the infratemporal fossa.

The day before surgery, the angiography is performed, which allows the embolization (occlusion) of blood vessels feeding the tumor and reduces the risk of bleeding.

JNA is removed to the fullest extent possible. If the total resection is not possible, the formation is excised partially, and the patient is prescribed radiation therapy after surgery. The following techniques are well-proven for angiofibromas:

  1. Stereotactic surgery (Gamma Knife). The tumor residue is affected by a high dose of radiation, which leads to the tumor cell death. The flows of radiation particles are formed so that most of the energy was targeted at the pathological focus. Thus, the healthy tissue is almost not subjected to irradiation. The procedure is performed only once. The effect is manifested over the next 6 to 24 months.
  2. Conformal radiotherapy. The tumor is irradiated precisely from different angles. Consequently, the major impact is targeted exactly at the pathological focus. The surrounding tissues are damaged to a lesser extent than upon conventional irradiation techniques. The sessions are repeated daily for several weeks.

For inoperable JNA, the radiation techniques may be indicated as the main treatment option.

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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

Department of Surgery

Treatment of cervical lipoma with surgical resection #278627

The Department of Surgery at the university hospital Klinikum rechts der Isar provides a wide range of treatment of diseases requiring surgical intervention.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 4245
Nearest date of appointment is:
10.05.2018

Academic Hospital Sachsenhausen at the Goethe University Frankfurt

10/10 from 23 Votes

Department of Surgery, Orthopedics, Bariatric surgery, Endicrine Surgery

Treatment of cervical lipoma with surgical resection #333967

The Department of Surgery a wide range of surgical interventions in the field of oncological surgery, traumatology, orthopedics, proctology, hernia surgery and endocrine surgery.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 3813
Nearest date of appointment is:
07.05.2018

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

Department of General, Abdominal and Vascular Surgery

Treatment of cervical lipoma with surgical resection #335823

The Department of General, Abdominal and Vascular Surgery at the St. Vincentius Clinic offers the entire range of relevant services at the highest level. Along with intestinal and thyroid surgeries, the most important areas of the department are minimally invasive (laparoscopic) and oncological surgery.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe

Price 4049
Nearest date of appointment is:
07.05.2018

University Hospital Cologne

9.8/10 from 82 Votes

Department of General, Abdominal and Tumor Surgery

Treatment of cervical lipoma with surgical resection #278344

The Department of General, Abdominal and Tumor Surgery deals with the surgical treatment of benign and malignant diseases. The focus is on surgery to treat  cancer of the esophagus, stomach, small and large intestine, liver, gallbladder, pancreatic and thyroid cancer.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Price 3783
Nearest date of appointment is:
17.05.2018

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of General, Abdominal, Endocrine and Minimally Invasive Surgery

Treatment of cervical lipoma with surgical resection #278488

Beside general surgical primary care, the department of general, abdominal, endocrine and minimally invasive surgery has two specific medical emphases: visceral surgery and endocrine surgery. A separate focus of the department is on the surgery of abdominal oncological diseases.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 4280
Nearest date of appointment is:
10.05.2018

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

Department of General and Abdominal Surgery, Endocrine Surgery and Coloproctology

Treatment of cervical lipoma with surgical resection #275681

The department of general and abdominal surgery, endocrine surgery and coloprotology treats patients with surgical diseases of the organs of the abdominal cavity, the abdominal wall, and treated the anal region and endocrine organs (thyroid, parathyroid and adrenal glands).


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 5127
Nearest date of appointment is:
17.05.2018

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Abdominal Surgery

Treatment of cervical lipoma with surgical resection #278231

The Department of Abdominal Surgery in Schwabing diagnoses and treats all kinds of diseases of the organs of the abdominal cavity - conservative, interventional and surgical. Here gastroenterologists, hepatologists and visceral surgeons work hand in hand and guarantee the patient an optimal, interdisciplinary care.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 3906
Nearest date of appointment is:
17.05.2018

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

Department of General, Abdominal Surgery and Surgical Oncology

Treatment of cervical lipoma with surgical resection #356494

The Department of General, Abdominal Surgery and Surgical Oncology offers the full range of services in these medical focuses. The department provides high-quality surgical treatment of all abdominal diseases. The surgeons of the department have a huge experience in performing open and laparoscopic interventions.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hamburg

Price 4134
Nearest date of appointment is:
21.05.2018

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of General and Abdominal Surgery

Treatment of cervical lipoma with surgical resection #278051

According to the Focus magazine rating of 2017, the Department of General and Abdominal Surgery ranks among the top German departments specializing in colon cancer treatment! The department deals with the treatment of all general and abdominal surgical diseases and performs surgery to transplant liv...


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 4266
Nearest date of appointment is:
28.05.2018

University Hospital Muenster

9.8/10 from 78 Votes

Department of General and Abdominal Surgery

Treatment of cervical lipoma with surgical resection #275105

The Department of General and Abdominal Surgery at the University Hospital Muenster ranks among large university surgery centers of Germany. The Department specializes in the treatment of gastrointestinal malignancies (gastrointestinal tract) as well as hormone-producing (endocrine) organs.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Muenster

Price 4119
Nearest date of appointment is:
17.05.2018

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

Department of Coloproctology

Treatment of cervical lipoma with surgical resection #338101

The Department of Coloproctology specializes in diagnosis and treatment of the colon and rectum diseases.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 5183
Nearest date of appointment is:
07.05.2018

University Hospital Würzburg

9.2/10 from 38 Votes

Department of General, Abdominal, Vascular and Pediatric Surgery

Treatment of cervical lipoma with surgical resection #274940

The Department of General, Abdominal, Vascular and Pediatric Surgery (Department of Surgery I) covers the entire spectrum of general and abdominal surgery. There are two specialized Sections of Vascular and Pediatric Surgery. The Department offers the whole range of top-class surgical services.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 4303
Nearest date of appointment is:
18.06.2018

Hannover Medical School

9.8/10 from 43 Votes

Department of General, Abdominal and Transplant Surgery

Treatment of cervical lipoma with surgical resection #274699

The Department of Surgery at the Hannover Medical School offers comprehensive surgical treatment of benign and malignant diseases of the entire abdominal cavity.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 4229
Nearest date of appointment is:
25.06.2018

Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

Department of General, Visceral, Vascular Surgery and Traumatology

Treatment of cervical lipoma with surgical resection #300638

The Department of General, Abdominal, Vascular Surgery and Traumatology at the Hospital St. Elisabeth Grevenbroich specializes in abdominal and vascular surgery, as well as in the treatment of victims of accidents.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Grevenbroich

Price 4274
Nearest date of appointment is:
19.06.2018

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

Department of Minimally Invasive Surgery and Abdominal Surgery

Treatment of cervical lipoma with surgical resection #362368

The Department of Minimally Invasive Surgery and Abdominal Surgery offers the full spectrum of surgical treatment of all internal diseases. One of the main focuses of the department is the treatment of cancer.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 5071
Nearest date of appointment is:
25.06.2018

University Hospital Oldenburg

10/10 from 33 Votes

Department of General and Abdominal Surgery

Treatment of cervical lipoma with surgical resection #362248

Department of General and Abdominal Surgery offers the full range of services in the corresponding healthcare branches. The department annually conducts about 3000 interventions in both outpatient and inpatient settings. There is a 24-hour emergency medical service functioning here.


Duration: 3 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Oldenburg

Price 4004
Nearest date of appointment is:
19.06.2018



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