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Occult level IV metastases in clinically node-negative patients with oral tongue squamous cell carcinoma

Published online by Cambridge University Press:  20 April 2016

M Motiee-Langroudi ,
A Amali ,
B Saedi ,
H Emami ,
F Ensani ,
A Lotfi  and
M Rabbani Anari
M Motiee-Langroudi
Affiliation:
Otorhinolaryngology Research Center, Otolaryngology Department, Tehran University of Medical Sciences, Iran
A Amali
Affiliation:
Pathology Department, Tehran University of Medical Sciences, Iran
B Saedi
Affiliation:
Otorhinolaryngology Research Center, Otolaryngology Department, Tehran University of Medical Sciences, Iran
H Emami
Affiliation:
Otorhinolaryngology Research Center, Otolaryngology Department, Tehran University of Medical Sciences, Iran
F Ensani
Affiliation:
Pathology Department, Tehran University of Medical Sciences, Iran
A Lotfi
Affiliation:
Otolaryngology Department, Tehran University of Medical Sciences, Iran
M Rabbani Anari*
Affiliation:
Otorhinolaryngology Research Center, Otolaryngology Department, Tehran University of Medical Sciences, Iran
*
Address for correspondence: Dr M Rabbani Anari, Otolaryngology Department, Imam Khomeini Hospital Complex, Bagherkhan Street, Chamran Highway, Tehran 1419733141, Iran Fax: +98 216 658 1628 E-mail: m_rabani@razi.tums.ac.ir
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Abstract

Objective:

The present study was conducted to determine the rate of level IV lymph node involvement among node-negative (N0) necks in patients with squamous cell carcinoma of the tongue.

Methods:

The study comprised 32 patients with squamous cell carcinoma of the tongue, with tumour–node–metastasis staging of T1–3N0M0, who were admitted to the Otolaryngology Department at Tehran University of Medical Sciences from March 2012 to March 2014. After a complete diagnostic evaluation, wide primary tumour excision (with 1.5–2 cm margins) and extended supraomohyoid neck dissection (levels I–IV) were accomplished.

Results:

Occult metastasis was found in 28 per cent of the patients. Level I, II and III metastases were the most common (18.75, 18.75 and 15.62 per cent, respectively). Level IV metastasis was found in 6.25 per cent of patients.

Conclusion:

Supraomohyoid neck dissection appears to be an appropriate treatment for N0 tongue squamous cell carcinoma and there is no need for level IV lymph node dissection in a N0 patient.

Keywords

MetastasisNeck DissectionTongueGlossectomySquamous Cell Carcinoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 5 , May 2016 , pp. 474 - 477
Copyright
Copyright © JLO (1984) Limited 2016 

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