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Cervical lymph node metastatic patterns of squamous carcinomas in the upper aerodigestive tract

Published online by Cambridge University Press:  29 June 2007

Xiao Ming Li ,
William Ignace Wei ,
Xiao Feng Guo ,
Po Wing Yuen  and
Lai Kun Lam
Xiao Ming Li
Affiliation:
Department of Otorhinolarngology, Norman Bethune University of Medical Sciences, Changchun Jilin, China.
William Ignace Wei*
Affiliation:
Division of Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong
Xiao Feng Guo
Affiliation:
Department of Otorhinolarngology, Norman Bethune University of Medical Sciences, Changchun Jilin, China.
Po Wing Yuen
Affiliation:
Division of Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong
Lai Kun Lam
Affiliation:
Division of Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong
*
Address for correspondence: Professor William I. Wei, Professor of Otorhinolaryngology, Division of Head and Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong. Fax: (852) 28551897
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Abstract

The radical neck dissection specimens of 384 ethnically Chinese patients with different primary squamous carcinomas in the head and neck region were studied. Over 50 per cent of the specimens showed metastatic disease at one level in the neck. For oral cavity carcinoma, the levels of metastasis frequently involved were I, II and III while for carcinoma of the oropharynx, hypopharynx and larynx, the levels were II, III and IV. Extracapsular spread was present in 112/384 of patients (29 per cent) and this increased with advancing N-stages. Based on these findings, different selective neck dissections could be used for patients harbouring different primary head and neck carcinomas with limited neck disease.

Keywords

Head and neck neoplasmsCarcinoma, squamous cellLymph nodesNeoplasm metastasis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 937 - 941
Copyright
Copyright © JLO (1984) Limited 1996

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References

American Joint Committee on Cancer (1992) Manual for staging of cancer. 4th Edition, pp 27–44.Google Scholar
Bocca, E., Pignataro, O., Oldini, C., Cappa, C. (1984) Functional neck dissection: An evaluation of review of 843 cases. Laryngoscope 94: 942–945.CrossRefGoogle ScholarPubMed
Byers, R. M. (1985) Modified neck dissection—A study of 967 cases from 1970–1980. American Journal of Surgery 150: 414–421.CrossRefGoogle Scholar
Byers, R. M., Wolf, P. F., Ballantyne, A. J. (1988) Rationale for elective modified neck dissection. Head and Neck Surgery 10: 160–167.CrossRefGoogle ScholarPubMed
Candela, F. C., Shah, J., Jaques, D. P., Shah, J. P. (1990) Patterns of cervical node metastases from squamous carcinoma of the larynx. Archives of Otolaryngology, Head and Neck Surgery 116: 432–435.CrossRefGoogle ScholarPubMed
Crile, G. (1906) Excision of cancer of the head and neck. Journal of American of Medical Association 47: 1780–1786.CrossRefGoogle Scholar
Davidson, B. J., Kulkarny, V., Delacure, M. D., Shah, J. P. (1993) Posterior triangle metastases of squamous cell carcinoma of the upper aerodigestive tract. American Journal of Surgery 166: 395–398.CrossRefGoogle ScholarPubMed
Johnson, J. T., Myers, E. N., Bedetti, C. D., Barnes, E. L., Schramm, V. L. Jr., Thearle, P. B. (1985) Cervical lymph node metastases. Archives of Otolaryngology 111: 534–537.CrossRefGoogle ScholarPubMed
Khafif, R. A., Gelbfish, G. A., Asase, D. K., Tepper, P., Attie, J. N. (1990) Modified radical neck dissection in cancer of the mouth, pharynx and larynx. Head and Neck Surgery 12: 476–482.Google ScholarPubMed
Medina, J. E. (1989) A rational classification of neck dissections. Otolaryngology, Head and Neck Surgery 100: 169–176.CrossRefGoogle ScholarPubMed
Robbins, K. T., Medina, J. E., Wolfe, G. T., Levine, P. A., Sessions, R. B., Pruet, C. W. (1991) Standardising neck dissection terminology. Official report of the Academy's Committee for Head and Neck Surgery and Oncology. Archives of Otolaryngology, Head and Neck Surgery 117: 601–605.CrossRefGoogle ScholarPubMed
Shah, J. P. (1990) Patterns of cervical lymph node metastasis from squamous carcinoma of the upper aerodigestive tract. American Journal of Surgery 160: 405–409.CrossRefGoogle ScholarPubMed
Shah, J. P., Strong, E., Spiro, R. H., Vikram, B. (1981) Neck dissection: current status and future possibilities. Clinical Bulletin 11: 25–33.Google ScholarPubMed
Sharpe, D. T. (1981) The pattern of lymph node metastases in intra-oral squamous cell carcinoma. British Journal of Plastic Surgery 34: 97–101.CrossRefGoogle ScholarPubMed
Snow, G. B., Annyas, A. A., van Slooten, E. A., Bartelink, H., Hart, A. A. (1982) Prognostic factors of neck node metastasis. Clinical Otolaryngology 7: 185–192.CrossRefGoogle ScholarPubMed