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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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Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from23 Votes
location_onGermany, Frankfurt am Main

Department of Surgery, Endocrine Surgery, Bariatric Surgery, Orthopedics, Traumatology

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.

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HELIOS Clinic Krefeld

9.7/10 from38 Votes
location_onGermany, Krefeld

Department of of General, Abdominal and Minimally Invasive Surgery

Treatment of cervical lipoma with surgical resection #382039

The Department of General, Abdominal and Minimally Invasive Surgery offers the full range of services in these medical fields. The department specializes in the surgical treatment of abdominal organs: esophagus, stomach, small and large intestine, liver, pancreas, gallbladder and bile ducts, thyroid gland.

University Hospital Rechts der Isar of the Munich Technical University

10/10 from70 Votes
location_onGermany, Munich
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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.

St. Vincentius Clinic Karlsruhe

9.8/10 from23 Votes
location_onGermany, Karlsruhe

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.

Academic Hospital Bogenhausen Munich

9.2/10 from43 Votes
location_onGermany, Munich
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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.

Academic Hospital Neuperlach Munich

9.8/10 from11 Votes
location_onGermany, Munich
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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).

Academic Hospital Schwabing Munich

8.5/10 from7 Votes
location_onGermany, Munich

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.

Hospital St. Elisabeth Grevenbroich

10/10 from23 Votes
location_onGermany, Grevenbroich
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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.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from23 Votes
location_onGermany, Hamburg

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.

University Hospital Frankfurt am Main

10/10 from97 Votes
location_onGermany, Frankfurt am Main
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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...

University Hospital Muenster

9.8/10 from78 Votes
location_onGermany, Muenster
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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.

University Hospital Würzburg

9.2/10 from38 Votes
location_onGermany, Würzburg
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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.

Hannover Medical School

9.8/10 from43 Votes
location_onGermany, Hannover
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Department of General, Abdominal and Transplant Surgery

Treatment of cervical lipoma with surgical resection #274699

The Department of General, Abdominal and Transplant Surgery offers the full range of services in these medical fields.

Vivantes Neukölln Hospital Berlin

10/10 from23 Votes
location_onGermany, Berlin

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.

Tel Aviv Sourasky Medical Center

9.9/10 from23 Votes
location_onIsrael, Tel Aviv

Department of General Surgery

Treatment of cervical lipoma with surgical resection #330111

The Department of General Surgery at the Tel Aviv Sourasky Medical Center treats patients requiring both emergent and planned surgery. The Department leads Israel in a broad range of surgical procedures and shows outstanding success rates.

University Hospital Cologne

9.8/10 from82 Votes
location_onGermany, Cologne
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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.




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