Predictors of extracapsular spread in lymph node metastasis

We investigated effect of clinical and pathologic parameters on extracapsular spread (ECS) in patients with lymph node metastasis in laryngeal and hypopharyngeal cancer. About 186 patients and 342 neck dissection were included in this study. Relationship between ECS and tumor location, T stage, path...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2008-03, Vol.265 (3), p.337-339
Main Authors: Imre, Kadir, Pinar, Ercan, Oncel, Semih, Calli, Caglar, Tatar, Bekir
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Female
Head and Neck
Head and Neck Surgery
Hematologic and hematopoietic diseases
Humans
Hypopharyngeal Neoplasms - pathology
Hypopharyngeal Neoplasms - surgery
Laryngeal Neoplasms - pathology
Laryngeal Neoplasms - surgery
Laryngectomy
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Logistic Models
Lymph Node Excision
Lymphatic Metastasis
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Otorhinolaryngology. Stomatology
Retrospective Studies
Tumors
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:We investigated effect of clinical and pathologic parameters on extracapsular spread (ECS) in patients with lymph node metastasis in laryngeal and hypopharyngeal cancer. About 186 patients and 342 neck dissection were included in this study. Relationship between ECS and tumor location, T stage, pathologic N stage, tumor differentiation, number of metastatic lymph nodes, diameter of metastatic lymph node and impact of presence ECS on contralateral neck metastasis (CNM) were evaluated; 76 of the 186 patients had lymph node metastasis. Of the 76 patients, 31 (40.7%) had ECS. Tumor location, pathologic N stage of the tumor, number of metastatic lymph nodes, diameter of metastatic lymph node and the presence of CNM were significantly associated with ECS ( P  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-007-0464-0