Is the Dissection of the Level IV Lymph Node Pads Necessary in the Elective Lateral Neck Dissection of N0 Supraglottic Squamous Cell Carcinoma? / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 1131-1135, 2005.
Article
in Korean
| WPRIM
| ID: wpr-649848
ABSTRACT
BACKGROUND AND OBJECTIVES:
To determine whether level IV lymph nodes can be saved in the elective lateral neck dissection (LND) as a treatment for patients with squamous cell carcinoma of the supraglottic larynx. SUBJECTS ANDMETHODS:
From January 1997 to May 2002, 42 patients with supraglottic squamous cell carcinoma and a clinically N0 neck who underwent an elective LND were studied prospectively. The incidence of pathological metastasis to the level IV lymph nodes and a regional recurrence after an elective LND were evaluated.RESULTS:
Of the 42 patients, 10 (24%) had lymph nodes positive for microscopic metastatic squamous cell carcinoma. Two (5%) of the 42 patients had involvement of the level IV lymph nodes, whose clinical T-stages were above cT3. None of the clinical T1 or T2 tumors showed level IV nodal metastasis. There were two cases (5%) of the ipsilateral neck recurrence these patients developed recurrence in the level II and stomal area, respectively.CONCLUSION:
The level IV lymph node metastasis was rare in this study, and nodal recurrence after LND in squamous cell carcinoma of the supraglottic larynx was infrequent. Therefore, this region may be preserved in elective LND for patients with early squamous cell carcinoma of the supraglottic larynx.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Neck Dissection
/
Recurrence
/
Carcinoma, Squamous Cell
/
Laryngeal Neoplasms
/
Incidence
/
Prospective Studies
/
Larynx
/
Lymph Nodes
/
Neck
/
Neoplasm Metastasis
Type of study:
Incidence study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Otolaryngology - Head and Neck Surgery
Year:
2005
Type:
Article
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