We are proposing a randomized phase II study to assess the benefit of bilateral robot-assisted or laser basal tongue mucosectomy in combination with tonsillectomy in the assessment of prevalent cervical lymphadenopathy
Patient with a prevalent head and neck lymphadenopathy with positive or non-contributory fine needle aspiration, or having had an adenectomy revealing a metastasis of squamous cell carcinoma, a PET examination, an injected cervico-thoracic CT and an ENT work-up (nasofibroscopy) not finding a primary tumor
Performance Status < 2
Patient aged 18 or over
Patient affiliated with social security system
History of squamous cell carcinoma of the VADS or skin of the face.
History of cervico-facial radiotherapy
Primary tumor discovering during pan-endoscopy
Inexposable patient lead not to possible mucosectomy
Parallel
bilateral mucosectomy + tonsillectomy
Procedure/SurgeryBasic bilateral tongue mucosectomy assisted by robot or laser plus tonsillectomy (unilateral or bilateral at the choice of the investigator)
tonsillectomy
Procedure/Surgerytonsillectomy (unilateral or bilateral at the choice of the investigator)
Detection of primary cancer
Proportion of patients with primary cancer detected with surgery
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