Perivascular–submandibular lymph node metastasis in squamous cell carcinoma of the tongue and floor of mouth

Lim, Young Chang; Kim, J.W; Koh, Yoon Woo; Kim, Kyounghyun; Kim, H.J; Choi, Eun Chang

doi:10.1016/j.ejso.2004.02.001

Cited by 32 publications

(29 citation statements)

References 14 publications

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“…Unfortunately, the incidence of metastasis to the perifacial lymph node in patients with OOSCC has been largely undocumented. We reported previously that, despite a preliminary observation, perifacial lymph node metastasis (as well as the infrequent nodal recurrence in this area) was rare after elective supraomohyoid ND in patients with OOSCC with clinically node‐negative neck 4 …”

Section: Introductionmentioning

confidence: 79%

“…We reported previously that, despite a preliminary observation, perifacial lymph node metastasis (as well as the infrequent nodal recurrence in this area) was rare after elective supraomohyoid ND in patients with OOSCC with clinically node-negative neck. 4 The purpose of this study was to evaluate the incidence of perifacial lymph node metastasis and to identify its risk factors in patients with OOSCC with clinically node-positive neck. We hope this will provide useful information regarding the necessity of routine removal of these lymph nodes during comprehensive ND in these patients.…”

Section: Introductionmentioning

confidence: 99%

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Perifacial Lymph Node Metastasis in the Submandibular Triangle of Patients With Oral and Oropharyngeal Squamous Cell Carcinoma With Clinically Node-Positive Neck

Lim¹,

Lee²,

Choi³

2006

The Laryngoscope

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Section: Introductionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Perifacial Lymph Node Metastasis in the Submandibular Triangle of Patients With Oral and Oropharyngeal Squamous Cell Carcinoma With Clinically Node-Positive Neck

Lim¹,

Lee²,

Choi³

2006

The Laryngoscope

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“…Among these, the perivascular nodes (comprising prevascular and retrovascular nodes) are the most important because they are the primary afferent draining nodes of the oral cavity. Perivascular node involvement in FOM and tongue cancers is seen in about 5-7 % of cases [9]. Technically, the lymphatic compartment of level IB, between the superficial and deep layers of the cervical fascia, can be easily separated from the parenchyma of the submandibular gland once the submandibular fascia is incised.…”

Section: Discussionmentioning

confidence: 99%

Practicability of Submandibular Gland in Squamous Cell Carcinomas of Oral Cavity

Malgonde

Kumar

2014

Indian J Otolaryngol Head Neck Surg

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Current surgical treatment for oral cancers includes wide surgical excision of the primary lesion with appropriate neck dissection. Although tumor metastasis to the gland is uncommon, submandibular glands are frequently excised as a part of neck dissection because of their proximity to the primary lesion and afferent lymph nodes. Herein, we have retrospectively investigated the rate of involvement of submandibular glands in oral cavity tumors, and discussed the feasibility about resection of the submandibular glands. 94 patients undergoing 98 supraomohyoid neck dissections for oral cavity squamous cell carcinoma from 1st May 2010 till 31st May 2014 were retrospectively evaluated. Inclusion criteria were histopathologically confirmed squamous cell carcinoma of the oral cavity and surgery as the primary treatment modality, consisting of resection of the primary lesion with additional neck dissection, including at least one submandibular gland. Among the 98 specimens involvement of submandibular gland was seen only in 3 patients (3.06 %). Submandibular gland involvement was due to direct invasion of primary tumors and via the metastatic periglandular lymph nodes. Decision regarding excision of the gland should be done during the operation with the help of visual examination and frozen sections instead of preoperative planned resection. Preserving submandibular gland is both technically as well as oncologically feasible and can achieve potential benefit in preserving the submandibular salivary flow.

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“…Albeit occurring rarely, regional recurrence at level I has been described. 41 Surgeons could confidently omit resection of these lymph nodes due to the low metastatic rate in early-stage tongue cancer as well as the possible marginal mandibular nerve injury. In any case, meticulous lymph node dissection in this area is feasible and might lower the risk of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Neck treatment of patients with early stage oral tongue cancer

Huang

Kang

Lin

et al. 2008

Cancer

119

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Background: Intra myocardial hemorrhage lesions (IMH) are underdiagnosed complication of ST elevation myocardial infarction (STEMI). We sought to determine the incidence, predictors and the prognostic value of IMH in STEMI using cardiac MR imaging (CMR) techniques. Methods: We screened for inclusion consecutive patients with STEMI treated by percutaneous coronary intervention (PCI) within the first 12 hr of evolution. IMH lesions were identified on T2‐weighted sequences on CMR between days 4 and 8 after PCI. Adverse cardiac events were defined as a composite of death + severe ventricular arrhythmias + acute coronary syndrome + acute heart failure. Results: N = 114 patients were included and n = 11 patients (10%) presented IMH lesions. Patients with IMH lesions had a larger myocardial infarction extent (25.6 ± 1.8 vs. 13.5 ± 1.0 % LV mass, P < 0.01), microvascular obstructive lesions extent (4.6 ± 1.0 vs. 1.3 ± 0.3% LV mass, P < 0.01) and lower LV ejection fraction (40.7 ± 2.3% vs. 50.7 ± 1.3%, P < 0.01). The value of glycemia at admission was an independent predictor of IMH development (Odd ratio 1.8 [1.1–2.8] per mmol l−1, P = 0.01). The incidence of adverse cardiac events was higher in the IMH group than in the non‐IMH group during the first year following STEMI (P = 0.01, log‐rank analysis). Cox regression analysis identified the presence of IMH lesions as an independent predictor of adverse clinical outcome (Hazard Ratio = 2.8 [1.2–6.8], P = 0.02). Conclusion: Our study indicates that IMH is a rare but severe finding in STEMI, associated with a larger myocardial infarction and a worse clinical outcome. Per‐PCI glycemia might influence IMH development. © 2011 Wiley Periodicals, Inc.

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Perivascular–submandibular lymph node metastasis in squamous cell carcinoma of the tongue and floor of mouth

Cited by 32 publications

References 14 publications

Perifacial Lymph Node Metastasis in the Submandibular Triangle of Patients With Oral and Oropharyngeal Squamous Cell Carcinoma With Clinically Node-Positive Neck

Perifacial Lymph Node Metastasis in the Submandibular Triangle of Patients With Oral and Oropharyngeal Squamous Cell Carcinoma With Clinically Node-Positive Neck

Practicability of Submandibular Gland in Squamous Cell Carcinomas of Oral Cavity

Neck treatment of patients with early stage oral tongue cancer

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