Necessity of level IV dissection in cN0 hypopharyngeal carcinoma

Yoo Seob Shin, Se Heon Kim, Yoon Woo Koh, Hyun Jun Hong, Jeong Hun Seol, Eun Chang Choi

Research output: Contribution to journalArticle

Abstract

Conclusions: We suggest that contralateral level IV dissection is not necessary in patients with cN0 hypopharyngeal squamous cell carcinoma (HPSCC). Objectives: Elective treatment of neck nodes is very important in the management of cN0 HPSCC. A selective neck dissection neck level II to IV (SND II-IV) is widely accepted as an elective neck treatment of cN0 HPSCC. However, there has been a lot of effort to reduce the extent of surgery. Therefore, we investigated the incidence of level IV metastasis and regional recurrence in cN0 HPSCC. Methods: We performed a retrospective review of 40 patients who underwent SND II-IV as an elective treatment for cN0 HPSCC from 1992 to 2010. Results: In all, 30 bilateral and 10 unilateral SND II-IVs were performed in 40 patients. Of the 70 SND II-IV specimens, 15 specimens from 14 patients (21%) were revealed to have positive lymph node metastasis. Level IV was involved in 3 of 70 necks (4.2%), but no isolated or contralateral level IV metastasis was observed. Every case that had level IV metastasis also had positive nodes in level II or III. There was no case of postoperative chylous leakage and only one case of phrenic nerve palsy.

Original languageEnglish
Pages (from-to)665-669
Number of pages5
JournalActa Oto-Laryngologica
Volume131
Issue number6
DOIs
Publication statusPublished - 2011 Jun 1

Fingerprint

Dissection
Neck
Squamous Cell Carcinoma
Carcinoma
Neck Dissection
Neoplasm Metastasis
Phrenic Nerve
Paralysis
Therapeutics
Lymph Nodes
Recurrence
Incidence

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Shin, Yoo Seob ; Kim, Se Heon ; Koh, Yoon Woo ; Hong, Hyun Jun ; Seol, Jeong Hun ; Choi, Eun Chang. / Necessity of level IV dissection in cN0 hypopharyngeal carcinoma. In: Acta Oto-Laryngologica. 2011 ; Vol. 131, No. 6. pp. 665-669.
@article{fbb4324ac6c9423b832bf9fe510d5d25,
title = "Necessity of level IV dissection in cN0 hypopharyngeal carcinoma",
abstract = "Conclusions: We suggest that contralateral level IV dissection is not necessary in patients with cN0 hypopharyngeal squamous cell carcinoma (HPSCC). Objectives: Elective treatment of neck nodes is very important in the management of cN0 HPSCC. A selective neck dissection neck level II to IV (SND II-IV) is widely accepted as an elective neck treatment of cN0 HPSCC. However, there has been a lot of effort to reduce the extent of surgery. Therefore, we investigated the incidence of level IV metastasis and regional recurrence in cN0 HPSCC. Methods: We performed a retrospective review of 40 patients who underwent SND II-IV as an elective treatment for cN0 HPSCC from 1992 to 2010. Results: In all, 30 bilateral and 10 unilateral SND II-IVs were performed in 40 patients. Of the 70 SND II-IV specimens, 15 specimens from 14 patients (21{\%}) were revealed to have positive lymph node metastasis. Level IV was involved in 3 of 70 necks (4.2{\%}), but no isolated or contralateral level IV metastasis was observed. Every case that had level IV metastasis also had positive nodes in level II or III. There was no case of postoperative chylous leakage and only one case of phrenic nerve palsy.",
author = "Shin, {Yoo Seob} and Kim, {Se Heon} and Koh, {Yoon Woo} and Hong, {Hyun Jun} and Seol, {Jeong Hun} and Choi, {Eun Chang}",
year = "2011",
month = "6",
day = "1",
doi = "10.3109/00016489.2011.554437",
language = "English",
volume = "131",
pages = "665--669",
journal = "Acta Oto-Laryngologica",
issn = "0001-6489",
publisher = "Informa Healthcare",
number = "6",

}

Necessity of level IV dissection in cN0 hypopharyngeal carcinoma. / Shin, Yoo Seob; Kim, Se Heon; Koh, Yoon Woo; Hong, Hyun Jun; Seol, Jeong Hun; Choi, Eun Chang.

In: Acta Oto-Laryngologica, Vol. 131, No. 6, 01.06.2011, p. 665-669.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Necessity of level IV dissection in cN0 hypopharyngeal carcinoma

AU - Shin, Yoo Seob

AU - Kim, Se Heon

AU - Koh, Yoon Woo

AU - Hong, Hyun Jun

AU - Seol, Jeong Hun

AU - Choi, Eun Chang

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Conclusions: We suggest that contralateral level IV dissection is not necessary in patients with cN0 hypopharyngeal squamous cell carcinoma (HPSCC). Objectives: Elective treatment of neck nodes is very important in the management of cN0 HPSCC. A selective neck dissection neck level II to IV (SND II-IV) is widely accepted as an elective neck treatment of cN0 HPSCC. However, there has been a lot of effort to reduce the extent of surgery. Therefore, we investigated the incidence of level IV metastasis and regional recurrence in cN0 HPSCC. Methods: We performed a retrospective review of 40 patients who underwent SND II-IV as an elective treatment for cN0 HPSCC from 1992 to 2010. Results: In all, 30 bilateral and 10 unilateral SND II-IVs were performed in 40 patients. Of the 70 SND II-IV specimens, 15 specimens from 14 patients (21%) were revealed to have positive lymph node metastasis. Level IV was involved in 3 of 70 necks (4.2%), but no isolated or contralateral level IV metastasis was observed. Every case that had level IV metastasis also had positive nodes in level II or III. There was no case of postoperative chylous leakage and only one case of phrenic nerve palsy.

AB - Conclusions: We suggest that contralateral level IV dissection is not necessary in patients with cN0 hypopharyngeal squamous cell carcinoma (HPSCC). Objectives: Elective treatment of neck nodes is very important in the management of cN0 HPSCC. A selective neck dissection neck level II to IV (SND II-IV) is widely accepted as an elective neck treatment of cN0 HPSCC. However, there has been a lot of effort to reduce the extent of surgery. Therefore, we investigated the incidence of level IV metastasis and regional recurrence in cN0 HPSCC. Methods: We performed a retrospective review of 40 patients who underwent SND II-IV as an elective treatment for cN0 HPSCC from 1992 to 2010. Results: In all, 30 bilateral and 10 unilateral SND II-IVs were performed in 40 patients. Of the 70 SND II-IV specimens, 15 specimens from 14 patients (21%) were revealed to have positive lymph node metastasis. Level IV was involved in 3 of 70 necks (4.2%), but no isolated or contralateral level IV metastasis was observed. Every case that had level IV metastasis also had positive nodes in level II or III. There was no case of postoperative chylous leakage and only one case of phrenic nerve palsy.

UR - http://www.scopus.com/inward/record.url?scp=79956044120&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79956044120&partnerID=8YFLogxK

U2 - 10.3109/00016489.2011.554437

DO - 10.3109/00016489.2011.554437

M3 - Article

C2 - 21395474

AN - SCOPUS:79956044120

VL - 131

SP - 665

EP - 669

JO - Acta Oto-Laryngologica

JF - Acta Oto-Laryngologica

SN - 0001-6489

IS - 6

ER -