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Management of N0 neck in laryngeal carcinoma. Impact on patient’s survival

Published online by Cambridge University Press:  08 March 2006

M. Pinilla ,
F. M. González ,
C. López-Cortijo ,
B. Arellano ,
J. Herrero ,
A. Trinidad  and
J. Vergara
M. Pinilla
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
F. M. González
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
C. López-Cortijo
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
B. Arellano
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
J. Herrero
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
A. Trinidad
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
J. Vergara
Affiliation:
Department of Otorhinolaryngology, Clínica Puerta de Hierro. Universidad Autónoma de Madrid, Spain.
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Abstract

Management of patients with carcinoma of the larynx should systematically include an appropriate treatment of lymph nodes according to the TNM stage. One of the most controversial points of the treatment in these patients is the management of the clinically negative neck (N0). A retrospective study of 295 patients with laryngeal carcinoma and N0 neck undergoing treatment in our centre between 1983 and 1993 is presented. We observed a significant decrease in the survival of clinically N0 patients with histologically affected lymphnodes. Lymphadenopathy was more frequently detected in patients with supraglottic tumours (38 per cent) when compared to glottic tumours (16 per cent). In our experience, routine bilateral and unilateral dissection of N0 necks in all supraglottic tumours and in T3–T4 glottic tumours, respectively, is the most beneficial approach for patients in terms of survival.

Keywords

CarcinomaSquamous CellLaryngealNeoplasm MetastasesNeckTreatment Outcome
Type
Other
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 1 , January 2003 , pp. 63 - 66
Copyright
© Royal Society of Medicine Press Limited 2003

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