22 February 2002
Modified neck dissections--efficiency of surgical treatment and clinical observations.
Teresa Woińska-Rojecka, Barbara Południewska, Bogdan Łazarczyk, Stanisław Chodynicki, Jarosław Łuczaj, Jerzy Tynkiewicz, Ewa OlszewskaMed Sci Monit 2002; 8(2): CR93-95 :: ID: 420934
Abstract
BACKGROUND: The evaluation of affected lymph node number, the site of metastaticlymph nodes, and spread of neoplastic infiltration beyond the lymph capsule is considered useful in prognosis.The aim of the study was to estimate the frequency of neck nodal metastases occurrence depending on thesite of origin, the grade of larynx cancer progression, and clinical condition of neck lymph nodes. MATERIAL/METHODS:The study comprised 315 patients with larynx cancer who underwent surgery in 1994-1999. Laryngectomywas the most frequent procedure, performed in 254 patients, while partial laryngectomy was performedin 61 patients. There were 630 bilateral neck dissections; type I of modified radical surgery in 27 cases,type II in 45 cases, and type III in 558 cases. RESULTS: Neck nodal metastases were detected most rarelyin cases of glottic cancer (16%), and most frequently in transglottic cancer (56%). Most frequently,the nodal metastases affected the II level of the lymph node groups regardless of the site. Recurrencesto the neck lymph nodes were observed in 3.3% of the cases where the removed lymph nodes did not revealany metastatic changes in histopathological examinations. CONCLUSIONS: Postoperative results of the necklymph node histopathological examination point to the necessity of lymphadenectomy in the II-V levels.Selective lymphadenectomy is not advisable due to the possibility of metastases to all levels of theneck lymph nodes regardless of the primary tumor site.
Keywords: Laryngeal Neoplasms, Neck, Surgical Procedures, Operative
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
15 Apr 2024 : Laboratory Research
The Role of Copper-Induced M2 Macrophage Polarization in Protecting Cartilage Matrix in OsteoarthritisMed Sci Monit In Press; DOI: 10.12659/MSM.943738
07 Mar 2024 : Clinical Research
Knowledge of and Attitudes Toward Clinical Trials: A Questionnaire-Based Study of 179 Male Third- and Fourt...Med Sci Monit In Press; DOI: 10.12659/MSM.943468
08 Mar 2024 : Animal Research
Modification of Experimental Model of Necrotizing Enterocolitis (NEC) in Rat Pups by Single Exposure to Hyp...Med Sci Monit In Press; DOI: 10.12659/MSM.943443
18 Apr 2024 : Clinical Research
Comparative Analysis of Open and Closed Sphincterotomy for the Treatment of Chronic Anal Fissure: Safety an...Med Sci Monit In Press; DOI: 10.12659/MSM.944127
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952