Neck lymph node metastases: clinical aspects and treatment
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2011, Vol 0, Issue 1
Abstract
Neck lymph node metastases of squamous cell carcinoma of the upper aerodigestive tract are the most important prognostic factor in head and neck cancers. They worsen by 50% the 5-years results of treatment. The frequency of lymph node metastases depends on location of the primary tumor and various clinical and pathological factors. The diagnosis of lymph node metastases is made by clinical assessment of the neck (palpation) as well as by ultrasonography (USG) and computed tomography (CT scan). The most precise information on metastasis is achieved through serial histological examination of the lymph nodes excised during the neck dissection: the diagnosis of micro-metastases is possible. A very important and difficult problem is caused by metastases in cNO nodes. There are various opinions on treatment modalities in these cases – elective neck dissection seems to be the most effective. In cases classified as cN+, a therapeutic neck dissection is performed: radical, selective or radical modified.
Authors and Affiliations
Czesław Stankiewicz
Keywords
Related Articles
- EP ID EP50975
- DOI -
- Views 270
- Downloads 0
Dysphagia as an interdisciplinary problem. Difficulties in the diagnostic process of the vascular anomaly: a right-sided aortic arch with aberrant left subclavian artery (case report)
Dysphagia is an underestimated health problem. At the same time, it is a potentially life-threatening condition. Dysphagia in young adults is rare and thus it is rarely discussed in the literature. Vascular anomalies are...
Obraz epidemiologiczno-kliniczny raka wargi w regionie świętokrzyskim
Wstęp: Rak wargi, będący według kryteriów TNM jedną z lokalizacji raka jamy ustnej, posiada szereg cech odróżniających go od innych nowotworów głowy i szyi, zarówno epidemiologicznie, jak i w obrazie klinicznym. Materi...
The Quarter Century of Historical Section of Polish Otorhinolaryngologist Socjety – Head and Neck Surgeons
The jubilees of ninetieth anniversary of Otolaryngology Clinic of Warsaw Medical University and the quarter century of Historical Section of the Polish Otorinolaryngologists Society – Head and Neck Surgeons are mentioned...
Nowotwory z komórek macierzy włosa na przykładzie pilomatrixoma – opis przypadku
Pilomatrixoma (PMT), inaczej nabłoniak wapniejący Mahlerbego, jest stosunkowo rzadkim nowotworem pochodzenia ektodermalnego wywodzącym się z komórek macierzy włosa. Nabłoniak wapniejący zwykle prezentuje się jako pojedyn...
Protokół z posiedzenia Zarządu Głównego Polskiego Towarzystwa Otorynolaryngologów Chirurgów Głowy i Szyi w dniu 18 października 2012 r.