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Involved levels of the Neck in Head & Neck cancer: A Clinico-pathological correlation
| Content Provider | Scilit |
|---|---|
| Author | Alherabi, Ameen |
| Copyright Year | 2015 |
| Abstract | Objectives: To develop a visual tomographic map of involved lymph nodes levels corresponding to orophary ngeal, laryngeal, oral, and hypopharyngeal squamous cell carcinoma.Methods: A retrospective study was conductcd. Patient’s demographics, staging, pathology, types of neck dissections, lymph nodes level distribution, and lymph nodes counts were recorded. Results:One hundred forty-six patients were included. Males were 120 (82.2%) and females were 26 (17.8%). Among them, 14 patients (9.6%) had hypopharyngeal cancer, 29 (19.9%) had laryngeal cancer, 84 (57.5%) had oral cavity cancer, and 19 (13.0%) had Oropharyngeal cancer. The average lymph nodes count was 26.6 ± 15.2 lymph nodes. For the hypopharynx. the commonest involved level was level-Il (64.3%) followed by level-Ill and level- IV (42.9% each). For the larynx, the commonest involved level was also level-11 (44.8%) followed by level-Ill and level-IV (31%. 24.1% respectively).For the oral cavity, the commonest involved level was also level-Il (46.4%) followed by level-I, level-Ill. and level-IV (39.3%. 33.3%, 11.9% respectively). For the oropharynx, the commonest involved level was also level-II (68.4%) followed by level-I and level-Ill (26.3% each).Conclusion: when performing an elective neck dissection for NO in oropharyngeal, laryngeal, oral, and hypopharyngeal cancer; surgeons should take into consideration the percentage involvement of each cervical lymph node levels to better design the procedure to improve outcome and minimize morbidity. |
| Related Links | http://www.sjohns.org/article.asp?issn=1319-8491;year=2015;volume=17;issue=1;spage=1;epage=7;aulast=Alherabi;type=2 |
| File Format | XHTML |
| ISSN | 13198491 |
| DOI | 10.4103/1319-8491.292339 |
| Journal | Saudi Journal of Otorhinolaryngology Head and Neck Surgery |
| Issue Number | 1 |
| Volume Number | 17 |
| Language | English |
| Publisher | Medknow |
| Access Restriction | Open |
| Subject Keyword | Otorhinolaryngology Levels of Neck Neck Dissection Pathology Head and Neck Cancer Squamous Cell Cancer Saudi Journal of Otorhinolaryngology Head and Neck Surgery, Volume 17, Issue 1 |
| Content Type | Text |
| Resource Type | Article |
