Contralateral Cervical Lymph Node Metastases in Pyriform Sinus Carcinoma

Aluffi, Paolo; Pisani, P; Policarpo, M; Pia, Francesco

doi:10.1016/j.otohns.2005.06.023

Cited by 11 publications

(11 citation statements)

References 20 publications

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“…Data from multiple pathological studies [35][36][37][38][39][40] showed that metastases form clinically N0 hypopharyngeal cancer rarely occur in levels I and IIB, and they supported the recommendation to preserve levels I and IIB in these patients, which may improve the post-operative functional outcome, particularly with regard to the spinal accessory nerve and future shoulder function [41]. Contralateral nodal clearance may also be considered in the at-risked group of patients, including those with tumor involving the medial wall of the pyriform recess [42][43][44][45], post-crioid region or the posterior wall [43,[46][47][48], and those with ipsilateral palpable nodal metastasis and clinical stage IV disease.…”

Section: Management Of the Neckmentioning

confidence: 90%

Current management strategy of hypopharyngeal carcinoma

2013

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Section: Management Of the Neckmentioning

confidence: 90%

Current management strategy of hypopharyngeal carcinoma

2013

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“…Cho et al reported that in tonsil cancer, contralateral clinically N0 neck might be preserved with caution in the cases with poorly differentiated primary tumors and/or ipsilateral clinically N+ necks [10]. Aluffi et al reported that elective bilateral neck dissection is recommended in patients with locally advanced SCC of the pyriform sinus [11]. To decide when we should perform elective neck dissection during salvage surgery, we analyzed several parameters including initially advanced T stage, initially node-positive state, whether the patient had adjuvant therapy after initial treatment or not, recurrence within 1 year after initial treatment, advanced recurrent T stage, and nodal recurrence cases (Table V).…”

Section: Discussionmentioning

confidence: 99%

The role of elective neck dissection during salvage surgery in head and neck squamous cell carcinoma

Lee

Kwon

Chung

et al. 2013

Acta Oto-Laryngologica

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Six of 80 electively dissected heminecks (7.5%) had occult nodal metastasis. When comparing the regional control rate and disease-specific survival rate between the elective neck dissection group and the observation group, there was no statistically significant difference between groups. However, N-positive cases at initial treatment and recurrent cases that developed within 1 year had a significant advantage for elective neck dissection during salvage surgery.

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“…48 Aluffi P et al (2006) in their study reported that in hypopharyngeal cancers, because of the advanced stage at presentation and its extension across the midline, the risk of contralateral metastasis is high on more than 20% of cases treated surgically. 49 Varsha M Joshi et al (2014) reported that nodal staging is the most accurate prognostic factor for SCC. Unilateral nodal disease indicates a 50% reduction in long term survival while a bilateral nodal involvement indicates a 75% reduction.…”

Section: Discussionmentioning

confidence: 99%

Clinico-Endoscopic and Radiological Assessment in the Pretherapeutic Staging of Laryngeal and Hypopharyngeal Malignancies

Rashad¹,

Sajad²,

Basharat³

et al. 2016

J Biol Sci Opin

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Carcinomas of larynx and hypopharynx are the very common primary head and neck malignancies.Incidence is strongly related to age, and is rare before 40 years of age. The larynx and hypopharynx are closely integrated anatomically and functionally. Anatomically larynx is divided into the three sub divisions and certain potential spaces through which cancer tends to spread outside the site of its origin. The causal relationship between alcohol and tobacco intake, genetic predisposition, diet, and socioeconomic conditions in the development of squamous cell cancers of the head and neck applies as well to laryngeal and hypopharyngeal cancer. Site predilection for the origin of cancers of laryngeal cancers being Glottic carcinoma being 60 to 65%, Supraglottic carcinoma 30 to 35% and Subglottic carcinoma less than 5%. Site predilection for the origin of cancers of hypopharyngeal cancers being pyriform Sinus 70%, post cricoid region 15% and posterior pharyngeal wall 15%. Clinico-endoscopic evaluation can be undertaken with indirect laryngoscopy, fibreoptic laryngoscopy / telescopic laryngoscopy (70 0 hopkins) and direct laryngoscopy. Imaging (USG, CECT±CEMRI) plays a significant complementary role to clinical endoscopy in pretherapeutic staging of laryngeal and hypo pharyngeal malignancies. Determination of the precise extent of cancer spread within the larynx (T staging) is the single most critical factor guiding treatment decisions in patients with localised laryngeal cancer. In present study out of 25 patients of laryngeal and hypopharyngeal malignancies, 16 (64%) patients were treated by radiotherapy or concurrent chemoradiation, 4 (16%) patients were treated by total laryngectomy with neck dissection and 3 (12%) patient were treated by total laryngectomy with partial pharyngectomy with neck dissection and 2 (8%) patients were treated by total laryngectomy alone.

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Contralateral Cervical Lymph Node Metastases in Pyriform Sinus Carcinoma

Abstract: C-4.

Cited by 11 publications

References 20 publications

Current management strategy of hypopharyngeal carcinoma

Current management strategy of hypopharyngeal carcinoma

The role of elective neck dissection during salvage surgery in head and neck squamous cell carcinoma

Clinico-Endoscopic and Radiological Assessment in the Pretherapeutic Staging of Laryngeal and Hypopharyngeal Malignancies

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