Incidence and spread pattern of lymph node metastasis from submandibular gland cancer.
Eur Arch Otorhinolaryngol
; 280(9): 4233-4238, 2023 Sep.
Article
em En
| MEDLINE
| ID: mdl-37212862
ABSTRACT
OBJECTIVES:
To clarify the indication of neck dissection (ND) for patient with submandibular gland (SMG) cancer.METHODS:
A total of 43 patients with SMG cancer were retrospectively analyzed. Forty-one patients underwent ND Levels I-V in 19 patients, Levels I-III in 18 patients, and Level Ib in 4 patients. The other two patients did not undergo ND, since preoperative diagnoses were benign. Postoperative radiotherapy was performed in 19 patients with positive surgical margin, high grade cancer or stage IV disease.RESULTS:
LN metastases were pathologically confirmed in all patients with cN + and 6 out of 31 patients with cN-. No patients developed regional recurrence during follow-up periods. Ultimately, LN metastases were pathologically confirmed in 17 of 27 high grade, one out of 9 intermediate grade, but not in 7 low grade.CONCLUSIONS:
Prophylactic neck dissection should be considered in T3/4 and high grade SMG cancers.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Glândula Submandibular
/
Neoplasias das Glândulas Salivares
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article