Levels II and III neck dissection for larynx cancer with N0 neck

dc.creatorChone, CT
dc.creatorKohler, HF
dc.creatorMagalhaes, R
dc.creatorNavarro, M
dc.creatorAltemani, A
dc.creatorCrespo, AN
dc.date2012
dc.dateSEP-OCT
dc.date2014-08-01T18:34:02Z
dc.date2015-11-26T18:03:10Z
dc.date2014-08-01T18:34:02Z
dc.date2015-11-26T18:03:10Z
dc.date.accessioned2018-03-29T00:44:59Z
dc.date.available2018-03-29T00:44:59Z
dc.identifierBrazilian Journal Of Otorhinolaryngology. Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, v. 78, n. 5, n. 59, n. 63, 2012.
dc.identifier1808-8694
dc.identifierWOS:000310714500009
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/80878
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/80878
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1292453
dc.descriptionThe removal of level II, III, and IV metastases has gained importance in the treatment of squamous cell carcinomas (SCC) of the neck and larynx. This study assessed the possibility of removing level II and level III metastases only, given the low likelihood of occurrence of metastatic lymph nodes on level IV in SCCs of the larynx. Objective: This study aimed to analyze the prevalence rates of metastatic lymph nodes on level IV in laryngeal SCC patients. Methods: This prospective study enrolled consecutive patients with laryngeal SCC submitted to neck lymph node dissection. Neck levels were identified and marked for future histopathology testing. Results: Six percent (3/54) of the necks had level IV metastatic lymph nodes. All cN0 necks (42) were free from level IV metastasis. Histopathology testing done in the cN (+) necks (12) revealed that 25% of the level IV specimens were positive for SCC. The difference between cN0 and cN (+) necks was statistically significant (p = 0.009). Level IV metastases never occurred in isolation, and were always associated with level II or level III involvement (p = 0.002). Conclusion: The prevalence rate for lymph node metastasis in cN0 necks was 0%. Level IV metastatic lymph nodes were correlated to cN (+) necks. Level IV metastasis was associated with the presence of metastatic lymph nodes in levels II or III.
dc.description78
dc.description5
dc.description59
dc.description63
dc.languageen
dc.publisherAssoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial
dc.publisherSao Paulo
dc.publisherBrasil
dc.relationBrazilian Journal Of Otorhinolaryngology
dc.relationBraz. J. Otorhinolaryngol.
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectlaryngeal neoplasms
dc.subjectlymph nodes
dc.subjectlymphatic metastasis
dc.subjectneck dissection
dc.subjectSquamous-cell-carcinoma
dc.subjectUpper Aerodigestive Tract
dc.subjectLymph-node Metastases
dc.subjectIv
dc.titleLevels II and III neck dissection for larynx cancer with N0 neck
dc.typeArtículos de revistas


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