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Neck dissection findings in primary head and neck high-grade adenocarcinoma

Published online by Cambridge University Press:  16 March 2006

Patrick Sheahan ,
Miriam Byrne ,
Maky Hafidh ,
Mary Toner  and
Conrad Simon
Patrick Sheahan
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, St. James’ Hospital, Dublin 8, Ireland.
Miriam Byrne
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, St. James’ Hospital, Dublin 8, Ireland.
Maky Hafidh
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, St. James’ Hospital, Dublin 8, Ireland.
Mary Toner
Affiliation:
Department of Histopathology,Trinity College, Dublin 2, Ireland.
Conrad Simon
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, St. James’ Hospital, Dublin 8, Ireland.
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Abstract

Primary salivary adenocarcinoma of the head and neck is rare. In cases where cervical metastases are evident or suspected, neck dissection is likely to play a role in management. However, there is little data in the literature regarding the findings and outcome of neck dissection in these patients. The present study comprised a review of 12 patients with high-grade salivary adenocarcinoma (salivary ductal carcinoma or adenocarcinoma, not otherwise specified (NOS). Eight underwent neck dissection (four modified radical, four selective). Histological examination showed evidence of cervical metastases in five. The prevalence of occult metastases in the N0 neck was 40 per cent. Computed tomography (CT) and magnetic resonance imaging (MRI) were not useful in detecting occult neck disease. Five patients had no evidence of disease at the most recent follow up. Neck dissection is indicated in patients with high-grade salivary adenocarcinoma, and may provide information for planning adjuvant treatment.

Keywords

Salivary GlandsAdenocarcinomaNeck Dissection
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 118 , Issue 7 , July 2004 , pp. 532 - 536
Copyright
© 2004 Royal Society of Medicine Press

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