Abstract Objective: To investigate the prevalence of level I neck lymph node metastases or submandibular nodal metastases in laryngeal and/or hypopharyngeal squamous cell carcinoma (SCC). Patients and Methods: One hundred fifty consecutive neck dissection specimens from 100 patients with laryngeal and hypopharyngeal SCC, who were treated at our institution between 1992 and 2002, were retrospectively reviewed. Results: The tumour stage was T1-T4, and the neck stage was N0-N3. Metastases were never found in level I (Ia + Ib) or in the submandibular gland. Metastases were concentrated within the jugular chain (levels II-IV in 92.2% of the N-positive necks). Conclusion: Metastases of level I of the neck and the submandibular gland are extremely rare in cases of laryngeal and/or hypopharyngeal carcinoma. The risk of facial or hypoglossal nerve injury does not justify the dissection of level I and of the submandibular gland in this type of tumour
Involvement of Level I Neck Lymph Nodes and Submandibular Gland in Laryngeal and/or Hypopharyngeal Squamous Cell Carcinoma / Mercante, G.; Bacciu, Andrea; Oretti, G.; Ferri, Teore. - In: JOURNAL OF OTOLARYNGOLOGY. - ISSN 0381-6605. - 35:(2006), pp. 108-111. [10.2310/7070.2005.4133]
Involvement of Level I Neck Lymph Nodes and Submandibular Gland in Laryngeal and/or Hypopharyngeal Squamous Cell Carcinoma
BACCIU, Andrea;FERRI, Teore
2006-01-01
Abstract
Abstract Objective: To investigate the prevalence of level I neck lymph node metastases or submandibular nodal metastases in laryngeal and/or hypopharyngeal squamous cell carcinoma (SCC). Patients and Methods: One hundred fifty consecutive neck dissection specimens from 100 patients with laryngeal and hypopharyngeal SCC, who were treated at our institution between 1992 and 2002, were retrospectively reviewed. Results: The tumour stage was T1-T4, and the neck stage was N0-N3. Metastases were never found in level I (Ia + Ib) or in the submandibular gland. Metastases were concentrated within the jugular chain (levels II-IV in 92.2% of the N-positive necks). Conclusion: Metastases of level I of the neck and the submandibular gland are extremely rare in cases of laryngeal and/or hypopharyngeal carcinoma. The risk of facial or hypoglossal nerve injury does not justify the dissection of level I and of the submandibular gland in this type of tumourFile | Dimensione | Formato | |
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