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Cervical lymph node metastatic patterns of squamous carcinomas in the upper aerodigestive tract

Published online by Cambridge University Press:  29 June 2007

Xiao Ming Li ,
William Ignace Wei ,
Xiao Feng Guo ,
Po Wing Yuen  and
Lai Kun Lam
Xiao Ming Li
Affiliation:
Department of Otorhinolarngology, Norman Bethune University of Medical Sciences, Changchun Jilin, China.
William Ignace Wei*
Affiliation:
Division of Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong
Xiao Feng Guo
Affiliation:
Department of Otorhinolarngology, Norman Bethune University of Medical Sciences, Changchun Jilin, China.
Po Wing Yuen
Affiliation:
Division of Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong
Lai Kun Lam
Affiliation:
Division of Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong
*
Address for correspondence: Professor William I. Wei, Professor of Otorhinolaryngology, Division of Head and Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong. Fax: (852) 28551897
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Abstract

The radical neck dissection specimens of 384 ethnically Chinese patients with different primary squamous carcinomas in the head and neck region were studied. Over 50 per cent of the specimens showed metastatic disease at one level in the neck. For oral cavity carcinoma, the levels of metastasis frequently involved were I, II and III while for carcinoma of the oropharynx, hypopharynx and larynx, the levels were II, III and IV. Extracapsular spread was present in 112/384 of patients (29 per cent) and this increased with advancing N-stages. Based on these findings, different selective neck dissections could be used for patients harbouring different primary head and neck carcinomas with limited neck disease.

Keywords

Head and neck neoplasmsCarcinoma, squamous cellLymph nodesNeoplasm metastasis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 10 , October 1996 , pp. 937 - 941
Copyright
Copyright © JLO (1984) Limited 1996

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