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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.

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