Delphian lymph node in glottic carcinoma subjected to supracricoid partial laryngectomy with cricohyoidoepiglottopexy
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Academia Mexicana de Cirugía, A.C.
2005
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| _version_ | 1876483754984210432 |
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| author | Kuauhyama Luna-Ortiz |
| author_facet | Kuauhyama Luna-Ortiz |
| contents | Delphian lymph node in glottic carcinoma subjected to supracricoid partial laryngectomy with cricohyoidoepiglottopexy Kuauhyama Luna-Ortiz Adalberto Mosqueda-Taylor Medicina glottic cancer delphian lymph node partial laryngectomy cricohyoidoepiglottopexy Introduction: Metastases to Delphian lypmph node is rarelypresent in laryngeal malignancy. This report describes itsfrequency in patients with glottic cancer undergoing supracricoidpartial laryngectomy (SCPL) with cricohyoidoepiglottopexy(CHEP).Material and methods: Fourteen patients (13 male and 1 female)with a mean age of 58 years underwent a SCPL with CHEP andfunctional bilateral neck dissection (levels II-V) searching for theDelphian lymph node. Four patients were in stage I, five in stageII, four in stage III, and one in stage IV. Surgical margins andDelphian lymph nodes were searched for in each partiallaryngectomy sample.Results: The mean follow-up was 9 months. The right-sidedissection yielded an average of 18 lymph nodes and the leftsidedissection yielded an average of 22 lymph nodes, with nometastatic disease on the ultimate examination. Only one patient(7%) revealed a carcinoma-positive Delphian lymph node, and 6months later a metastatic lymph node was found on the sameside as the primary tumor. The patient underwent standard radiationtherapy (66 Gy) targeted to larynx and lymph node areas, aswell as to the supraclavicular region (20 Gy).Discussion: Bilateral functional dissection is indicated in thepresence of Delphian lymph node metastatic spread. Postoperativeradiation therapy may occasionally be used as anadjuvant treatment in cases with positive Delphian lymph node inspite of a negative functional dissection in partial laryngectomiesdue to other possible node spread routes. Bilateral functionaldissection should be chosen based on tumor site and size 2005 artículo científico 0009-7411 https://www.redalyc.org/articulo.oa?id=66273103 en http://www.redalyc.org/revista.oa?id=662 Cirugía y Cirujanos application/pdf Academia Mexicana de Cirugía, A.C. Cirugía y Cirujanos (México) Num.1 Vol.73 |
| format | Artículo científico |
| id | redalyc_66273103 |
| institution | Redalyc |
| language | en |
| publishDate | 2005 |
| publisher | Academia Mexicana de Cirugía, A.C. |
| spellingShingle | Delphian lymph node in glottic carcinoma subjected to supracricoid partial laryngectomy with cricohyoidoepiglottopexy Kuauhyama Luna-Ortiz Medicina glottic cancer delphian lymph node partial laryngectomy cricohyoidoepiglottopexy Delphian lymph node in glottic carcinoma subjected to supracricoid partial laryngectomy with cricohyoidoepiglottopexy Kuauhyama Luna-Ortiz Adalberto Mosqueda-Taylor Medicina glottic cancer delphian lymph node partial laryngectomy cricohyoidoepiglottopexy Introduction: Metastases to Delphian lypmph node is rarelypresent in laryngeal malignancy. This report describes itsfrequency in patients with glottic cancer undergoing supracricoidpartial laryngectomy (SCPL) with cricohyoidoepiglottopexy(CHEP).Material and methods: Fourteen patients (13 male and 1 female)with a mean age of 58 years underwent a SCPL with CHEP andfunctional bilateral neck dissection (levels II-V) searching for theDelphian lymph node. Four patients were in stage I, five in stageII, four in stage III, and one in stage IV. Surgical margins andDelphian lymph nodes were searched for in each partiallaryngectomy sample.Results: The mean follow-up was 9 months. The right-sidedissection yielded an average of 18 lymph nodes and the leftsidedissection yielded an average of 22 lymph nodes, with nometastatic disease on the ultimate examination. Only one patient(7%) revealed a carcinoma-positive Delphian lymph node, and 6months later a metastatic lymph node was found on the sameside as the primary tumor. The patient underwent standard radiationtherapy (66 Gy) targeted to larynx and lymph node areas, aswell as to the supraclavicular region (20 Gy).Discussion: Bilateral functional dissection is indicated in thepresence of Delphian lymph node metastatic spread. Postoperativeradiation therapy may occasionally be used as anadjuvant treatment in cases with positive Delphian lymph node inspite of a negative functional dissection in partial laryngectomiesdue to other possible node spread routes. Bilateral functionaldissection should be chosen based on tumor site and size 2005 artículo científico 0009-7411 https://www.redalyc.org/articulo.oa?id=66273103 en http://www.redalyc.org/revista.oa?id=662 Cirugía y Cirujanos application/pdf Academia Mexicana de Cirugía, A.C. Cirugía y Cirujanos (México) Num.1 Vol.73 |
| title | Delphian lymph node in glottic carcinoma subjected to supracricoid partial laryngectomy with cricohyoidoepiglottopexy |
| topic | Medicina glottic cancer delphian lymph node partial laryngectomy cricohyoidoepiglottopexy |
| url | https://www.redalyc.org/articulo.oa?id=66273103 |