Cervical metastases of squamous cell carcinoma of the maxilla: a retrospective study of 9 years

Metastases of squamous cell carcinoma of the tongue and the mouth floor have been well studied. Concerning maxilla squamous cell carcinomas, however, only a few studies have been performed. The question is whether a prophylactic neck dissection should be performed in these tumors. In the Department...

Full description

Saved in:
Bibliographic Details
Published in:Head & neck oncology 2009-07, Vol.1 (1), p.28-28, Article 28
Main Authors: Kruse, Astrid L D, Grätz, Klaus W
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - secondary
Cervical cancer
Diagnosis
Dissection
Female
Head and neck cancer
Humans
Lymphatic Metastasis
Lymphatic system
Male
Maxillary Neoplasms - pathology
Metastasis
Middle Aged
Neck
Occult sciences
Prognosis
Retrospective Studies
Squamous cell carcinoma
Studies
Surgery
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Metastases of squamous cell carcinoma of the tongue and the mouth floor have been well studied. Concerning maxilla squamous cell carcinomas, however, only a few studies have been performed. The question is whether a prophylactic neck dissection should be performed in these tumors. In the Department of Craniomaxillofacial Surgery at the University Hospital of Zurich, 30 patients who had been treated for squamous cell carcinoma of the maxilla were examined retrospectively. Special attention was paid to direct and late metastasis, survival rate, and treatment. Of the 59 patients with upper jaw carcinomas over a 9-year period, only about half (30 patients) had a squamous cell carcinoma of the upper jaw. Of those patients, 27% had an upper lesion on the right side, 33% on the left. Of the 11 patients (36.7%) presenting positive lymph nodes, 4 patients had direct positive lymph nodes while 7 patients had later positive lymph nodes; and 71.4% of the late metastasis appeared during the first year. Because of the 36.7% of patients presenting metastases in the cervical lymph nodes, elective neck treatment should be considered in cases even with a negative clinical examination.
ISSN:1758-3284
1758-3284
DOI:10.1186/1758-3284-1-28