Evaluation of Persistent or Recurrent Cervical Nodal Metastasis and Outcome of Neck Dissection in Patients with Nasopharyngeal Carcinoma after Chemoradiotherapy

ABSTRACT The surgical treatment of papillary thyroid carcinoma is the most frequent procedure in endocrine oncologic practice for endocrine surgeons. With the advent of positron emission tomography scan, many of these patients who had previous surgery in the form of total thyroidectomy with neck dissection present with recurrent nodal metastasis which is the cause of thyroglobulin increase. Reoperative surgery is fraught with increased incidence of complications mainly the internal jugular vein injury and nerve injuries. In this scenario, good exposure helps in avoiding these injuries, and also helps the surgeon. We describe the exposure of the posterior triangle by the division of sternocleidomastoid superiorly off the mastoid tip and retracting the muscle downward and suturing it back at the end of the procedure. How to cite this article Mayilvaganan S, Bothra S, Rashid M, Chekavar A, Vema AK, Agarwal A. Transection of Sternocleidomastoid for Selective Neck Dissection in Recurrent Papillary Thyroid Cancers. World J Endoc Surg 2017;9(1):32-34.

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Tumours of the oral cavity

10.1093/med/9780199682874.003.0202 ◽

2021 ◽

pp. 859-866

Author(s):

Jonathan A. Dunne ◽

Paolo L. Matteucci

Keyword(s):

Neck Dissection ◽

External Beam Radiotherapy ◽

Radical Neck Dissection ◽

Free Flaps ◽

Nodal Metastasis ◽

High Rate ◽

Adjuvant Chemoradiotherapy ◽

Postoperative Rehabilitation ◽

Supraomohyoid Neck Dissection ◽

Common Malignancy

Oral tumours are a common malignancy, with smoking and alcohol the principal aetiological factors. Squamous cell carcinoma is the commonest pathology, most frequently affecting the anterior tongue and floor of the mouth. Surgery is the mainstay of T1/T2 tumour management, and tracheostomy may be required. Sentinel node biopsy is an effective staging procedure; however, there is a high rate of occult nodal metastasis which may warrant elective supraomohyoid neck dissection. Macroscopic nodal disease requires modified radical neck dissection, preferably with adjuvant chemoradiotherapy. For unresectable tumours, radical external beam radiotherapy with cisplatin should be given. Reconstruction of soft tissue involves a range of skin grafts and local, regional, and free flaps, while bony reconstruction includes obturators and non-vascularized and vascularized bone grafts. Postoperative rehabilitation aims to restore speech, mastication, swallow, and dentition. Three-year survival is greater than 90% for stage I/II disease, with excellent functional outcomes.

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Prognostic value of cervical nodal tumor volume in nasopharyngeal carcinoma: Analysis of 1230 patients with positive cervical nodal metastasis

PLoS ONE ◽

10.1371/journal.pone.0176995 ◽

2017 ◽

Vol 12 (5) ◽

pp. e0176995 ◽

Cited By ~ 4

Author(s):

Fo-Ping Chen ◽

Guan-Qun Zhou ◽

Zhen-Yu Qi ◽

Li Lin ◽

Jiang Hu ◽

...

Keyword(s):

Nasopharyngeal Carcinoma ◽

Prognostic Value ◽

Tumor Volume ◽

Nodal Metastasis

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Selective neck dissection for neck residue of nasopharyngeal carcinoma: A prospective study

Journal of Cranio-Maxillofacial Surgery ◽

10.1016/j.jcms.2015.06.037 ◽

2015 ◽

Vol 43 (8) ◽

pp. 1571-1576 ◽

Cited By ~ 3

Author(s):

J.Y. Chen ◽

L. Zhang ◽

Q.H. Ji ◽

D.S. Li ◽

Q. Shen ◽

...

Keyword(s):

Nasopharyngeal Carcinoma ◽

Prospective Study ◽

Neck Dissection ◽

Selective Neck Dissection ◽

A Prospective Study

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Serendipitous Detection of Cervical Nodal Metastasis in Glomus Jugulare

Indian Journal of Neurosurgery ◽

10.1055/s-0038-1639383 ◽

2018 ◽

Vol 07 (03) ◽

pp. 256-259

Author(s):

Shruti Venkitachalam ◽

Rayappa Chinnusamy ◽

Narendranath Ashok ◽

Swatee Halbe

Keyword(s):

Radiation Therapy ◽

Lymph Nodes ◽

Neck Dissection ◽

Similar Pattern ◽

Adjuvant Radiotherapy ◽

Nodal Metastasis ◽

Cervical Lymph Nodes ◽

Glomus Jugulare ◽

History Of

AbstractWe present the case of a 50-year-old man who presented to us with a history of having received radiation therapy for a glomus jugulare tumor. He had been on regular follow-up with serial imaging scans. The MRI done after 4 years of treatment revealed an interval increase in size. Carotid angiogram revealed, in addition to the glomus, multiple lymph nodes of similar pattern of vascularity, well lateral to the carotid sheath, in the ipsilateral neck. He underwent resection of the tumor and a neck dissection. Histopathology confirmed metastatic glomus jugulare in the cervical lymph nodes. He received adjuvant radiotherapy and is doing well.

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Efficacy of radical neck dissection for the control of cervical metastasis after radiotherapy for nasopharyngeal carcinoma

The American Journal of Surgery ◽

10.1016/s0002-9610(05)80561-6 ◽

1990 ◽

Vol 160 (4) ◽

pp. 439-442 ◽

Cited By ~ 54

Author(s):

William I. Wei ◽

Kam H. Lam ◽

Chiu M. Ho ◽

Jonathan S.T. Sham ◽

Sai K. Lau

Keyword(s):

Nasopharyngeal Carcinoma ◽

Neck Dissection ◽

Radical Neck Dissection ◽

Cervical Metastasis

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Late nodal metastasis of T2 oral cancer can be reduced by a combination of preoperative ultrasonographic examination and frozen section biopsy during supraomohyoid neck dissection

Acta Oto-Laryngologica ◽

10.3109/00016489.2011.598553 ◽

2011 ◽

Vol 131 (11) ◽

pp. 1214-1219 ◽

Cited By ~ 1

Author(s):

Koutetsu Lee ◽

Shuji Nishikawa ◽

Katsuhiro Yoshimura ◽

Ryo Kawata

Keyword(s):

Oral Cancer ◽

Neck Dissection ◽

Frozen Section ◽

Nodal Metastasis ◽

Ultrasonographic Examination ◽

Supraomohyoid Neck Dissection

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S176 – Level II-B and V-A Lateral Neck Dissection in PTC

Otolaryngology ◽

10.1016/j.otohns.2008.05.350 ◽

2008 ◽

Vol 139 (2_suppl) ◽

pp. P135-P135

Author(s):

Tarik Y Farrag ◽

Frank Lin ◽

Noel Brownlee ◽

Matthew Kim ◽

Shiela Sheth ◽

...

Keyword(s):

Neck Dissection ◽

Nodal Metastasis ◽

Nodal Metastases ◽

Lateral Neck ◽

Cervical Metastasis ◽

Time Level ◽

Lateral Neck Dissection ◽

Bilateral Neck Dissection ◽

Level Ii

Objectives 1) Patterns of cervical metastasis in PTC. 2) Importance of elective dissection of levels II-B & V-A. Methods Charts were reviewed of 53 consecutive patients (February 2002-December 2007) with PTC who underwent lateral neck dissection that included at least levels II (A and B), and V (A and B). Results 53 patients underwent lateral neck dissection for FNA-confirmed nodal metastasis of PTC. 46 patients underwent unilateral neck dissection, while 7 had bilateral neck dissection, resulting in a total of 60 neck dissection specimens which were evaluated. Level II (A and B) was excised in 59/60 neck dissections, with 33 out of 59 specimens (33/59–%60) positive for metastasis. Level II-B was positive 5 times (5/59, 8.5%–95% CI: 2.4, 20.4); and each time level II-B was positive, level II-A was also positive for metastasis. Level III was excised 58 times and was positive in 38 specimens (38/58–66%). Level IV was excised 58 times and was positive in 29 specimens (29/58–50%). Level V (A and B) was excised 40 times and was positive in 16 specimens (16-40-40%). Level V-A did not account for any of the positive level V results. Conclusions Patients with PTC undergoing lateral neck dissection for FNA-confirmed nodal metastases might harbor disease in level II-B, especially if level II-A is involved. Elective dissection of level V-B should also be considered in this scenario, while routine level V-A dissection is not necessary.

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