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Management of the clinically negative cervical lymph nodes in patients with non-conventional squamous carcinoma of the larynx

Published online by Cambridge University Press:  29 June 2007

Alfio Ferlito ,
Alessandra Rinaldo ,
Kenneth O. Devaney  and
Antonino Carbone
Alfio Ferlito*
Affiliation:
Department of Otolaryngology Head and Neck Surgery, University of Udine, Udine, Italy
Alessandra Rinaldo
Affiliation:
Department of Otolaryngology Head and Neck Surgery, University of Udine, Udine, Italy
Kenneth O. Devaney
Affiliation:
Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA
Antonino Carbone
Affiliation:
Division of Pathology, National Cancer Institute, IRCCS, Aviano, Italy
*
Address for correspondence: Alfio Ferlito, M.D., Professor and Chairman, Department of Otolaryngology – Head and Neck Surgery, University of Udine, Policlinico Città di Udine, Viale Venezia 410, 33100 Udine – Italy. Fax: +39 0432 532179 e-mail: clorl@dsc.uniud.it
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Abstract

This paper discusses the indications for neck dissection in those patients with laryngeal tumours which prove to be, on pathologic examination, not conventional squamous carcinomas but rather fall into the category either of one of the uncommon histological subtypes of carcinoma, or another type of unusual histological variant of laryngeal malignancy, a mesenchymal tumour. It appears as though these unusual laryngeal malignancies may manifest both biological behaviours and propensities to metastasize to regional lymph nodes that differ from those of the more commonly encountered conventional squamous carcinomas of the larynx. This heterogeneous group of tumours accounts for about 10 per cent of all malignant tumours of the larynx.

Keywords

Laryngeal neoplasmsCarcinoma, squamous cellNeoplasm metastasisRadical neck dissection
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 7 , July 1999 , pp. 619 - 623
Copyright
Copyright © JLO (1984) Limited 1999

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