Lymphatic Metastasis to the Supraretrospinal Recess in Laryngeal Squamous Cell Carcinoma
In order to evaluate lymphatic metastasis to the supraretrospinal recess (SRSR) in laryngeal squamous cell carcinoma (SCC), we separately dissected SRSR lymph nodes and submitted them to pathological examination. Fifty-three lateral neck dissections (LNDs), 2 radical neck dissections (RNDs), and 19...
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Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2002-01, Vol.111 (1), p.96-99 |
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description | In order to evaluate lymphatic metastasis to the supraretrospinal recess (SRSR) in laryngeal squamous cell carcinoma (SCC), we separately dissected SRSR lymph nodes and submitted them to pathological examination. Fifty-three lateral neck dissections (LNDs), 2 radical neck dissections (RNDs), and 19 modified RNDs were performed in 49 previously untreated patients with laryngeal SCC. The nodal status of the patients was NO in 29 patients, N1 in 17, and N2 in 3. The neck was pathologically positive in both RNDs (100%), in 7 of 19 modified RNDs (37%), and in 7 of 53 LNDs (13%). No SRSR lymph nodes were positive in any of the dissection materials. No metastasis was found in the SRSR lymph nodes in the N0 necks treated with LND, and none was found even in N1 and N2 necks treated with RND or modified RND. We conclude that the SRSR may be left undissected during treatment of an N.0 neck with LND so that accessory nerve dysfunction can be minimized and operative time can be saved. |
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Fifty-three lateral neck dissections (LNDs), 2 radical neck dissections (RNDs), and 19 modified RNDs were performed in 49 previously untreated patients with laryngeal SCC. The nodal status of the patients was NO in 29 patients, N1 in 17, and N2 in 3. The neck was pathologically positive in both RNDs (100%), in 7 of 19 modified RNDs (37%), and in 7 of 53 LNDs (13%). No SRSR lymph nodes were positive in any of the dissection materials. No metastasis was found in the SRSR lymph nodes in the N0 necks treated with LND, and none was found even in N1 and N2 necks treated with RND or modified RND. We conclude that the SRSR may be left undissected during treatment of an N.0 neck with LND so that accessory nerve dysfunction can be minimized and operative time can be saved.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/000348940211100116</identifier><identifier>PMID: 11800378</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Biopsy ; Carcinoma, Squamous Cell - secondary ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Laryngeal Neoplasms - pathology ; Lymph Node Excision ; Lymph Nodes - pathology ; Lymphatic Metastasis ; Male ; Medical sciences ; Middle Aged ; Neck ; Otorhinolaryngology. Stomatology ; Prospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Tumors ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>Annals of otology, rhinology & laryngology, 2002-01, Vol.111 (1), p.96-99</ispartof><rights>2002 SAGE Publications</rights><rights>2002 INIST-CNRS</rights><rights>Copyright Annals Publishing Company Jan 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-5b9b55e08acf281a3f1c769e0a62f225cf99d74967ec9b1fd6db1e298e3354e33</citedby><cites>FETCH-LOGICAL-c396t-5b9b55e08acf281a3f1c769e0a62f225cf99d74967ec9b1fd6db1e298e3354e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000348940211100116$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000348940211100116$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,4009,21799,27902,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13463832$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11800378$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Köybasioǧlu, Ahmet</creatorcontrib><creatorcontrib>Inal, Erdoǧan</creatorcontrib><creatorcontrib>Uslu, Sabri</creatorcontrib><creatorcontrib>Ileri, Fikret</creatorcontrib><creatorcontrib>Yilmaz, Metin</creatorcontrib><creatorcontrib>Asal, Korhan</creatorcontrib><title>Lymphatic Metastasis to the Supraretrospinal Recess in Laryngeal Squamous Cell Carcinoma</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>In order to evaluate lymphatic metastasis to the supraretrospinal recess (SRSR) in laryngeal squamous cell carcinoma (SCC), we separately dissected SRSR lymph nodes and submitted them to pathological examination. Fifty-three lateral neck dissections (LNDs), 2 radical neck dissections (RNDs), and 19 modified RNDs were performed in 49 previously untreated patients with laryngeal SCC. The nodal status of the patients was NO in 29 patients, N1 in 17, and N2 in 3. The neck was pathologically positive in both RNDs (100%), in 7 of 19 modified RNDs (37%), and in 7 of 53 LNDs (13%). No SRSR lymph nodes were positive in any of the dissection materials. No metastasis was found in the SRSR lymph nodes in the N0 necks treated with LND, and none was found even in N1 and N2 necks treated with RND or modified RND. We conclude that the SRSR may be left undissected during treatment of an N.0 neck with LND so that accessory nerve dysfunction can be minimized and operative time can be saved.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Lymph Node Excision</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neck</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Prospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Fifty-three lateral neck dissections (LNDs), 2 radical neck dissections (RNDs), and 19 modified RNDs were performed in 49 previously untreated patients with laryngeal SCC. The nodal status of the patients was NO in 29 patients, N1 in 17, and N2 in 3. The neck was pathologically positive in both RNDs (100%), in 7 of 19 modified RNDs (37%), and in 7 of 53 LNDs (13%). No SRSR lymph nodes were positive in any of the dissection materials. No metastasis was found in the SRSR lymph nodes in the N0 necks treated with LND, and none was found even in N1 and N2 necks treated with RND or modified RND. We conclude that the SRSR may be left undissected during treatment of an N.0 neck with LND so that accessory nerve dysfunction can be minimized and operative time can be saved.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>11800378</pmid><doi>10.1177/000348940211100116</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Biopsy Carcinoma, Squamous Cell - secondary Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Laryngeal Neoplasms - pathology Lymph Node Excision Lymph Nodes - pathology Lymphatic Metastasis Male Medical sciences Middle Aged Neck Otorhinolaryngology. Stomatology Prospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Tumors Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
title | Lymphatic Metastasis to the Supraretrospinal Recess in Laryngeal Squamous Cell Carcinoma |
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