Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection
Objective:We aimed to evaluate the pattern of neck metastasis in patients with primary tonsillar carcinoma treated by primary surgery and neck dissection. Impact of the extent of neck dissection and level of metastatic nodes on survival were also evaluated.Methods:We evaluated 163 consecutive patien...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2018-09-01
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| Series: | Turkish Archives of Otorhinolaryngology |
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http://turkarchotolaryngol.net/archives/archive-detail/article-preview/distribution-of-metastatic-nodes-in-n0-1-patients-/43133
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| _version_ | 1828025994633543680 |
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| author | Hugo Fontan Köhler Sérgio Altino Franzi Fernando Augusto Soares Humberto Torloni Luiz Paulo Kowalski |
| author_facet | Hugo Fontan Köhler Sérgio Altino Franzi Fernando Augusto Soares Humberto Torloni Luiz Paulo Kowalski |
| author_sort | Hugo Fontan Köhler |
| collection | DOAJ |
| description | Objective:We aimed to evaluate the pattern of neck metastasis in patients with primary tonsillar carcinoma treated by primary surgery and neck dissection. Impact of the extent of neck dissection and level of metastatic nodes on survival were also evaluated.Methods:We evaluated 163 consecutive patients with tonsillar squamous cell carcinoma submitted for neck dissection and staged as cN0-1. Selective neck dissection was performed using a template encompassing levels I-III, whereas radical neck dissection led to the removal at levels I-V. For each patient, number of metastatic nodes, their distribution, and data regarding postoperative treatment and oncologic outcomes were analyzed.Results:Occult neck metastasis at levels I, IV, and V were rare with two cases each. In the clinically negative (cN0) patients, there were no cases of metastasis at level V and two cases at level I or IV. The extent of neck dissection and level of metastatic nodes had no impact on disease-specific survival or neck recurrence.Conclusion:We conclude that in cN0 patients, removal at levels II and III is mandatory but levels I, IV, and V may be spared. |
| first_indexed | 2024-04-10T13:11:03Z |
| format | Article |
| id | doaj.art-01af35f78ed14787b9ed3993d54f29ae |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T13:11:03Z |
| publishDate | 2018-09-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-01af35f78ed14787b9ed3993d54f29ae2023-02-15T16:12:34ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742018-09-0156313914410.5152/tao.2018.342013049054Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck DissectionHugo Fontan Köhler0Sérgio Altino Franzi1Fernando Augusto Soares2Humberto Torloni3Luiz Paulo Kowalski4 Department of Head and Neck Surgery and Otorhinolaryngology, A. C. Camargo Cancer Center, São Paulo, Brazil Department of Head and Neck Surgery and Otorhinolaryngology, A. C. Camargo Cancer Center, São Paulo, Brazil Department of Pathology, A. C. Camargo Cancer Center, São Paulo, Brazil Department of Research and Development, A. C. Camargo Cancer Center, São Paulo, Brazil Department of Head and Neck Surgery and Otorhinolaryngology, A. C. Camargo Cancer Center, São Paulo, Brazil Objective:We aimed to evaluate the pattern of neck metastasis in patients with primary tonsillar carcinoma treated by primary surgery and neck dissection. Impact of the extent of neck dissection and level of metastatic nodes on survival were also evaluated.Methods:We evaluated 163 consecutive patients with tonsillar squamous cell carcinoma submitted for neck dissection and staged as cN0-1. Selective neck dissection was performed using a template encompassing levels I-III, whereas radical neck dissection led to the removal at levels I-V. For each patient, number of metastatic nodes, their distribution, and data regarding postoperative treatment and oncologic outcomes were analyzed.Results:Occult neck metastasis at levels I, IV, and V were rare with two cases each. In the clinically negative (cN0) patients, there were no cases of metastasis at level V and two cases at level I or IV. The extent of neck dissection and level of metastatic nodes had no impact on disease-specific survival or neck recurrence.Conclusion:We conclude that in cN0 patients, removal at levels II and III is mandatory but levels I, IV, and V may be spared. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/distribution-of-metastatic-nodes-in-n0-1-patients-/43133 oropharyngeal neoplasmspalatine tonsilsquamous cell carcinomametastasisneck dissection |
| spellingShingle | Hugo Fontan Köhler Sérgio Altino Franzi Fernando Augusto Soares Humberto Torloni Luiz Paulo Kowalski Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection Turkish Archives of Otorhinolaryngology oropharyngeal neoplasms palatine tonsil squamous cell carcinoma metastasis neck dissection |
| title | Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection |
| title_full | Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection |
| title_fullStr | Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection |
| title_full_unstemmed | Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection |
| title_short | Distribution of Metastatic Nodes in N0-1 Patients with Tonsillar Squamous Cell Carcinoma and Its Implications for Selective Neck Dissection |
| title_sort | distribution of metastatic nodes in n0 1 patients with tonsillar squamous cell carcinoma and its implications for selective neck dissection |
| topic | oropharyngeal neoplasms palatine tonsil squamous cell carcinoma metastasis neck dissection |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/distribution-of-metastatic-nodes-in-n0-1-patients-/43133
|
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