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Incidence and spread pattern of lymph node metastasis from submandibular gland cancer.
Tamagawa, Kotaro; Otsuki, Naoki; Shimoda, Hikari; Morita, Naruhiko; Furukawa, Tatsuya; Teshima, Masanori; Shinomiya, Hirotaka; Nibu, Ken-Ichi.
Afiliação
  • Tamagawa K; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
  • Otsuki N; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan. naokies@med.kobe-u.ac.jp.
  • Shimoda H; Department of Otolaryngology-Head and Neck Surgery, Hyogo Prefectural Harima-Himeji General Medical Center, 3-264, Kamiya-Cho, Himeji, Hyogo, 670-8560, Japan. naokies@med.kobe-u.ac.jp.
  • Morita N; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
  • Furukawa T; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
  • Teshima M; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
  • Shinomiya H; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
  • Nibu KI; Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan.
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.
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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
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

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