Central compartment dissection in laryngeal cancer |
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| Authors: | Jesus E. Medina MD Alfio Ferlito MD DLO DPath FRCSEd ad hominem FRCS ad eundem FDSRCS ad eundem FHKCORL FRCPath FASCP IFCAP K. Thomas Robbins MD FRCSC Carl E. Silver MD Juan P. Rodrigo MD PhD Remco de Bree MD Mohamed N. Elsheikh MD Randal S. Weber MD Jochen A. Werner MD |
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| Affiliation: | 1. Department of Otorhinolaryngology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma;2. Department of Surgical Sciences, ENT Clinic, University of Udine, Azienda Ospedaliero‐Universitaria, Piazzale S. Maria della Misericordia, Udine, Italy;3. Division of Otolaryngology–Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois;4. Departments of Surgery and Otolaryngology–Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York;5. Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain;6. Instituto Universitario de Oncología del Principado de Asturias, Oviedo, Spain;7. Department of Otolaryngology–Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands;8. Department of Otolaryngology–Head and Neck Surgery, Tanta University, Tanta, Egypt;9. Department of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas;10. Department of Otorhinolaryngology–Head and Neck Surgery, Philipp‐University Marburg, Marburg, Germany |
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| Abstract: | We report here a review of the literature intended to clarify the nomenclature and boundaries of the nodes in the “central compartment” of the neck, the frequency with which tumors from the different laryngeal sites metastasize to these nodes, and the indications for central compartment node dissection in the treatment of cancers of the larynx. From this review, we conclude that, until consensus is reached about grouping of the lymph nodes in this area, it is best to refer to these nodes by their anatomic location, ie, prelaryngeal, pretracheal, or paratracheal lymph nodes. It is also advisable to describe dissection of these nodes as selective neck dissection (SND) with an annotation about the specific lymph node groups removed. Metastases in prelaryngeal and paratracheal lymph nodes in patients with squamous cell carcinoma of the larynx are associated with increased tumor recurrence, more frequent metastases in lymph nodes of the lateral compartment of the neck, and decreased survival. If untreated, they may lead to the development of peristomal recurrence. Therefore, elective treatment of level VI nodes is recommended in patients with squamous cell carcinomas of the subglottic region, advanced glottis carcinomas with subglottic extension, and in certain advanced carcinomas of the supraglottic region. © 2010 Wiley Periodicals, Inc. Head Neck, 2011 |
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| Keywords: | Delphian node laryngeal cancer neck dissection central compartment metastasis |
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