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Selective lateral neck dissection for laryngeal cancer with limited metastatic disease: is it indicated?

Published online by Cambridge University Press:  29 June 2007

Alfio Ferlito  and
Alessandra Rinaldo
Alfio Ferlito*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University of Udine, Padua, Italy
Alessandra Rinaldo
Affiliation:
Department of Otolaryngology, University of Padua, Padua, 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
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Abstract

The most important prognostic factor in cancer of the larynx is the presence of cervical metastatic disease, which is the most common type of recurrence in such patients. Because micrometastases cannot be detected pre-operatively at present, selective lateral neck dissection is increasingly recommended as the standard treatment for patients with a clinically negative neck in order to reduce the recurrence rate. In cases of N+ disease, selective lateral neck dissection can be as valid as modified radical neck dissection, providing patients have only limited, occult metastatic disease.

Keywords

Laryngeal neoplasmsNeoplasm metastasesSurgery, operative
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1031 - 1033
Copyright
Copyright © JLO (1984) Limited 1998

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Footnotes

The present study was supported by The Laryngeal Cancer Association.

References

Ambrosch, P., Freudenberg, L., Kron, M., Steiner, W. (1996) Selective neck dissection in the management of squamous cell carcinoma of the upper digestive tract. European Archives of Oto-Rhino-Laryngology 253: 329–335.CrossRefGoogle ScholarPubMed
Byers, R. M. (1985) Modified neck dissection. A study of 967 cases from 1970 to 1980. American Journal of Surgery 150: 414–421.CrossRefGoogle ScholarPubMed
Clayman, G. L., Frank, D. K. (1998) Selective neck dissection of anatomically appropriate levels is as efficacious as modified radical neck dissection for elective treatment of the clinically negative neck in patients with squamous cell carcinoma of the upper respiratory and digestive tracts. Archives of Otolaryngology – Head and Neck Surgery 124: 248–352.CrossRefGoogle Scholar
Davidson, B. J., Kulkarny, V., Delacure, M. D., Shah, J. P. (1993) Posterior triangle metastases of squamous cell carcinoma of the upper aerodigestive tract. American Journal of Surgery 166: 395–398.CrossRefGoogle ScholarPubMed
de Carvaiho, M. B. (1998) Quantitative analysis of the extent of extracapsular invasion and its prognostic significance: a prospective study of 170 cases of carcinoma of the larynx and hypopharynx. Head and Neck 20: 16–21.3.0.CO;2-6>CrossRefGoogle Scholar
Ferlito, A., Rinaldo, A. (1998) Level I dissection for laryngeal and hypopharyngeal cancer: is it indicated Journal of Laryngology and Otology 112: 438–440.CrossRefGoogle Scholar
Ferlito, A., Rinaldo, A., Mannarà, G. M. (1998) Is primary radiotherapy an appropriate option for treatment of verrucous carcinoma of the head and neck? Journal of Laryngology and Otology 112: 132–139.CrossRefGoogle ScholarPubMed
Gallo, O., Boddi, V., Bottai, G. V., Parrella, F., Fini Storchi, O. (1996) Treatment of the clinically negative neck in laryngeal cancer patients. Head and Neck 18: 566–572.3.0.CO;2-6>CrossRefGoogle ScholarPubMed
Houck, J. R., Medina, J. E. (1995) Management of cervical lymph nodes in squamous carcinomas of the head and neck. Seminars in Surgical Oncology 11: 228–239.CrossRefGoogle ScholarPubMed
International Union Against Cancer (1997) TNM Classification of Malignant Tumours. 5th Edition, Wiley-Liss, New York.Google Scholar
Johnson, J. T. (1994) Carcinoma of the larynx: selective approach to the management of cervical lymphatics. Ear, Nose and Throat Journal 73: 303–305.CrossRefGoogle Scholar
Li, X. M., Wei, W. I., Guo, X. F., Yuen, P. W., Lam, L. K. (1996) Cervical lymph node metastatic patterns of squamous carcinomas in the upper aerodigestive tract. Journal of Laryngology and Otology 110: 937–941.CrossRefGoogle ScholarPubMed
Myers, E. N. (1996) Editorial footnote. Archives of Otolaryngology – Head and Neck Surgery 122: 745.Google Scholar
Pellitteri, P. K., Robbins, K. T., Neuman, T. (1997) Expanded application of selective neck dissection with regard to nodal status. Head and Neck 19: 260–265.3.0.CO;2-Z>CrossRefGoogle ScholarPubMed
Pitman, K. T., Johnson, J. T., Myers, E. N. (1997) Effectiveness of selective neck dissection for management of the clinically negative neck. Archives of Otolaryngology – Head and Neck Surgery 123: 917–922.CrossRefGoogle ScholarPubMed
Shah, J. P., Medina, J. E., Shaha, A. R., Schantz, S. P., Marti, J. R. (1993) Cervical lymph node metastasis. Current Problems in Surgery 30: 273–344.CrossRefGoogle ScholarPubMed
Skolnik, E. M., Yee, K. F., Friedman, M., Golden, T. A. (1976) The posterior triangle in radical neck surgery. Archives of Otolaryngology 102: 1–4.CrossRefGoogle ScholarPubMed
Spiro, R. H., Gallo, O., Shah, J. P. (1993) Selective jugular node dissection in patients with squamous carcinoma of the larynx or pharynx. American Journal of Surgery 166: 399–402.CrossRefGoogle ScholarPubMed
Weber, P. C., Johnson, J. T., Myers, E. N. (1994) The impact of bilateral neck dissection on pattern of recurrence and survival in supraglottic carcinoma. Archives of Otolaryngology – Head and Neck Surgery 120: 703–706.CrossRefGoogle ScholarPubMed