A case of cervical metastasis suspected to be from cancer of uterine body detected on neck dissection in a patient with upper gingival cancer

Objectives Report our experience in the endoscopic treatment of supraglottic cancer with CO2 laser. Show the outcome reached with laser microsurgery in the treatment of supraglottic cancer. Methods From 1990 to 2007, 19 patients with supraglottic cancer underwent CO2 laser microsurgery. Results There were 7 (36.8%) T1, 5 (26.4%) T2, and 7 (36.8%) T3. T1 and T2 supraglottic tumors underwent endoscopic surgery with CO2 laser. T2 stage patients also were submitted to unilateral neck dissection. 2 patients (10.5%) with early supraglottic cancers had recurrence (one local and cervical and another cervical metastasis submitted to external surgery). Supraglottectomy with CO2 laser was performed to analize the preepiglottic space and to allow tumor stage. All T3 supraglottic tumors had pre-epiglottic invasion and underwent external supraglottic laryngectomy with neck dissection. Conclusions Endoscopic treatment for laryngeal cancer is an efficient therapy for early supraglottic cancers and is the best method to evaluate the preepiglottic invasion. This therapy makes local function possible without prejudice to oncological results.

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COMBINATION OF NECK DISSECTION FOR CERVICAL METASTASIS AND IRRADIATION OF PRIMARY TUMORS FOR CARCINOMAS OF THE MESOPHARYNX, HYPOPHARYNX, AND LARYNX

Toukeibu Gan ◽

10.5981/jjhnc.32.364 ◽

2006 ◽

Vol 32 (3) ◽

pp. 364-367

Author(s):

Katsuro SATO ◽

Hideyuki HANAZAWA ◽

Jun WATANABE ◽

Masahiko TOMITA ◽

Sugata TAKAHASHI

Keyword(s):

Neck Dissection ◽

Cervical Metastasis ◽

Primary Tumors

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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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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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Selective Neck Dissection for Cervical Metastasis

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.130.12.1435 ◽

2004 ◽

Vol 130 (12) ◽

pp. 1435 ◽

Cited By ~ 2

Author(s):

Robert P. Zitsch

Keyword(s):

Neck Dissection ◽

Selective Neck Dissection ◽

Cervical Metastasis

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Neck Dissection followed by Radiotherapy or Chemoradiotherapy for Small Primary Oropharynx Carcinoma with Cervical Metastasis

The Laryngoscope ◽

10.1097/01.mlg.0000162643.91849.79 ◽

2005 ◽

Vol 115 (7) ◽

pp. 1196-1200 ◽

Cited By ~ 27

Author(s):

Ashok N. Reddy ◽

David W. Eisele ◽

Arlene A. Forastiere ◽

Ding J. Lee ◽

William H. Westra ◽

...

Keyword(s):

Neck Dissection ◽

Cervical Metastasis ◽

Oropharynx Carcinoma ◽

Small Primary

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The frequency of occult cervical metastasis in oral squamous cell carcinoma patients - A cross sectional study

Journal of the Pakistan Medical Association ◽

10.47391/jpma.1512 ◽

2021 ◽

pp. 1-12

Author(s):

Ahmad Abdul Haseeb ◽

Ashfaq Ur Rahim ◽

Saud Iqbal ◽

Humaira Batool ◽

Samreen Younas ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Oral Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Neck Dissection ◽

Squamous Cell ◽

Cross Sectional Study ◽

Occult Metastasis ◽

Cervical Metastasis ◽

Sectional Study ◽

Cross Sectional

Objective: To determine the frequency of occult cervical metastasis in oral squamous cell carcinoma patients. Methods: This cross sectional study was conducted in the department of maxillofacial surgery, Mayo Hospital, Lahore from July 31st, 2015 to January 31st, 2016 on 100 patients of oral Squamous Cell Carcinoma (SCC) having clinically and radiologically negative nodes. Prophylactic functional neck dissection was done in each patient and was sent to the pathology lab for evaluation of any occult metastasis. Results: Overall frequency of occult cervical metastasis was found to be 27%. In 41(41 %) specimens of SCC of tongue, 13(31.7%) had occult metastasis. In Alveolar mucosa occult metastasis was found in 4(20 %) out of 20(20 %) patients. In SCC of buccal mucosa occult metastasis was found in 10(29.4%) out of 34(34 %) patients. In SCC of lip no occult metastasis was detected. Conclusion: Within the boundaries of the present study, it is concluded that occult cervical metastasis was most frequent in cases of SCC tongue, whereas no occult cervical metastasis detected in SCC of lip. Key Words: Squamous cell carcinoma, cervical lymph nodes, prophylactic neck dissection, occult cervical metastasis. Continuous...

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