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양측 예방적 경부곽청술로 확인한 후두 및 하인두 편평세포암종의 잠재전이

Other Titles
 Occult Neck Metastasis in Larynx and Hypopharynx Squamous Cell Carcinomas Confirmed with Simultaneous Bilateral Elective Neck Dissection 
Authors
 최은창  ;  김영호  ;  김세헌  ;  김동영  ;  홍정표  ;  정형진  ;  고윤우  ;  이용훈  ;  홍원표 
Citation
 Korean Journal of Otolaryngology (대한이비인후과학회지), Vol.42(5) : 621-626, 1999 
Journal Title
Korean Journal of Otolaryngology(대한이비인후과학회지)
ISSN
 1225-035X 
Issue Date
1999
Keywords
Occult neck metastasis ; Larynx cancer ; Hypopharynx cancer ; Bilateral neck dissection ; Elective neck dissection
Abstract
BACKGROUND AND OBJECTIVES:
Neck metastasis is one of the most important prognostic factor in treating head and neck squamous cell carcinomas. Recently, elective neck dissection has been widely accepted for accurate pathologic staging and elective treatment of neck. Occult metastasis rate of laryngeal and hypopharyngeal cancer varies widely depending upon authors. However, occult metastasis rate confirmed with simultaneous bilateral elective dissection is rare.
MATERIALS AND METHODS:
Fifty patients (100 necks) who underwent surgery for laryngeal and hypopharyngeal squamous cell carcinomas as an initial treatment from 1992 to 1997 were evaluated. All had bilateral elective neck dissection at the time of surgery for the primary treatment. Charts and pathologic reports were reviewed. RESULT: Occult neck metastasis rate by primary site were as follows. Supraglottis ipsilateral 40% (8/20) contralateral 15% (3/20), glottis ipsilateral 18% (4/22), contralateral 0% (0/22), hypopharynx ipsilateral 88% (7/8), contralateral 25% (2/8).
CONCLUSION:
Supraglottic and hypopharyngeal cancer may need elective neck treatment bilaterally. Contralateral neck occult metastasis from glottic cancer was minimal.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Heon(김세헌)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174105
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