✦ LIBER ✦

Role of modern imaging in decision-making for elective neck dissection

✍ Scribed by Rafael Feinmesser; Dr. Jeremy L. Freeman; Drs. Meora Feinmesser; Dr. A. Noyek; Dr. J. Brendan M. Mullen

Publisher: John Wiley and Sons
Year: 1992
Tongue: English
Weight: 373 KB
Volume: 14
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.2880140302

No coin nor oath required. For personal study only.

✦ Synopsis

This study examines patterns of early metastatic spread as recorded in 19 clinically negative, histologically positive (occult) neck dissection specimens. Microscopic metastatic deposits were detected in this study in nodes measuring 10 mm and less. No nodes with extension of tumor beyond the capsule and into adjacent structures were noted. Central necrosis was detected in only one node. We suggest that the first stages of metastatic disease as evaluated by the pathologist in clinically occult nodes are minimal and may easily evade the eyes of both pathologists and radiologists. Imaging proved to be efficacious in upstaging clinically occult necks that were previously irradiated. HEAD & NECK 1992;14:173-176

T h e presence of neck metastases is an ominous prognostic sign in patients with head and neck cancer, signifying reduction in survival by 50%.

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