Results of surgical treatment of lymph node metastases in patients with cutaneous squamous cell carcinoma of the head and neck.
Acta Otorrinolaringol Esp (Engl Ed)
; 75(3): 169-176, 2024.
Article
in En
| MEDLINE
| ID: mdl-38224869
ABSTRACT
INTRODUCTION:
Out of all cutaneous squamous cell carcinomas originating in the head and neck (HNCSCC), 2-4% are associated with parotid or cervical lymph node metastasis. The aim of this study is to analyse the prognostic factors of patients with HNCSCC with lymph node involvement treated surgically. Additionally, we aim to compare the prognostic capacity of the classification of these patients according to the 8th edition of the TNM, and an alternative classification proposed by O'Brien et al. PATIENTS ANDMETHODS:
Retrospective review of 65 patients with HNCSCC with lymph node metastasis treated surgically during the period 2000-2020.RESULTS:
During the study period we carried out 13 neck dissections and 52 parotidectomiesâ¯+â¯neck dissection in patients with lymph node metastases from a HNCSCC. The great majority of patients (89.2%) received post-operative radiotherapy. The 5â¯year disease-specific survival was 69.9%, and the overall survival it was 42.8%. The classification proposed by O'Brien et al., based on the parotid or cervical location of the lymph node metastases, and the size and number of the metastatic lymph nodes, had a better prognostic capacity than the TNM classification.CONCLUSIONS:
The surgical treatment of lymph node metastases in patients with HNCSCC achieved a high disease control. The classification based on the location, size and number of lymph node metastases proposed by O'Brien et al had better prognostic capacity than the TNM classification.Key words
Cabeza y cuello; Carcinoma escamoso cutáneo; Clasificación pronóstica; Cutaneous squamous cell carcinoma; Extracapsular spread; Head and neck; Lymph node metastases; Metástasis ganglionar; Neck dissection; O'Brien; Parotidectomy; Parotidectomía; Prognostic classification; Ruptura capsular; Vaciamiento cervical
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Neck Dissection
/
Skin Neoplasms
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Squamous Cell Carcinoma of Head and Neck
/
Lymphatic Metastasis
Type of study:
Prognostic_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Acta Otorrinolaringol Esp (Engl Ed)
Year:
2024
Document type:
Article
Country of publication:
Spain