We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Frequency of bilateral cervical metastases in oropharyngeal squamous cell carcinoma: A retrospective analysis of 352 cases after bilateral neck dissection.
- Authors
Olzowy, Bernhard; Tsalemchuk, Yulia; Schotten, Klaus-Juergen; Reichel, Oliver; Harréus, Ulrich
- Abstract
Background. The decision whether to perform an elective neck dissection in patients with head and neck squamous cell carcinoma (HNSCC) and clinically negative lymph nodes (cN0) is made based on the probability of micrometastases in the neck for the given subsite and size of the primary. To date there is limited information about contralateral and bilateral cervical lymph node metastases of oropharyngeal carcinoma. Methods. A retrospective chart review was performed of 352 patients with oropharyngeal SCC who received a bilateral neck dissection. The frequency of histologically unveiled bilateral neck metastases was determined. Results. Carcinomas of the tonsillar fossa starting with a T2 classification and carcinomas of the soft palate, base of tongue, and pharyngeal wall at any stage showed a high frequency of bilateral metastases. Conclusions. Bilateral neck dissection should be recommended for all but T1 and selected cases of T2 carcinomas of the tonsillar fossa.
- Subjects
RISK of metastasis; SQUAMOUS cell carcinoma; HUMAN dissection; LYMPH node diseases; TUMOR growth; NECK dissection; HEAD surgery; LYMPHATICS
- Publication
Head & Neck, 2011, Vol 33, Issue 2, p239
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.21436