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Cervical lymph node metastasis in adenoid cystic carcinoma of oral cavity and oropharynx: A collective international review
C. Suárez, L. Barnes, CE. Silver, JP. Rodrigo, JP. Shah, A. Triantafyllou, A. Rinaldo, A. Cardesa, KT. Pitman, LP. Kowalski, KT. Robbins, H. Hellquist, JE. Medina, R. de Bree, RP. Takes, A. Coca-Pelaz, PJ. Bradley, DR. Gnepp, A. Teymoortash, P....
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články, přehledy
- MeSH
- adenoidně cystický karcinom patologie terapie MeSH
- krční disekce * MeSH
- krk MeSH
- lidé MeSH
- lokální recidiva nádoru * MeSH
- lymfatické metastázy MeSH
- lymfatické uzliny patologie MeSH
- management nemoci MeSH
- nádory orofaryngu patologie terapie MeSH
- nádory úst patologie terapie MeSH
- radioterapie * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
The purpose of this study was to suggest general guidelines in the management of the N0 neck of oral cavity and oropharyngeal adenoid cystic carcinoma (AdCC) in order to improve the survival of these patients and/or reduce the risk of neck recurrences. The incidence of cervical node metastasis at diagnosis of head and neck AdCC is variable, and ranges between 3% and 16%. Metastasis to the cervical lymph nodes of intraoral and oropharyngeal AdCC varies from 2% to 43%, with the lower rates pertaining to palatal AdCC and the higher rates to base of the tongue. Neck node recurrence may happen after treatment in 0-14% of AdCC, is highly dependent on the extent of the treatment and is very rare in patients who have been treated with therapeutic or elective neck dissections, or elective neck irradiation. Lymph node involvement with or without extracapsular extension in AdCC has been shown in most reports to be independently associated with decreased overall and cause-specific survival, probably because lymph node involvement is a risk factor for subsequent distant metastasis. The overall rate of occult neck metastasis in patients with head and neck AdCC ranges from 15% to 44%, but occult neck metastasis from oral cavity and/or oropharynx seems to occur more frequently than from other locations, such as the sinonasal tract and major salivary glands. Nevertheless, the benefit of elective neck dissection (END) in AdCC is not comparable to that of squamous cell carcinoma, because the main cause of failure is not related to neck or local recurrence, but rather, to distant failure. Therefore, END should be considered in patients with a cN0 neck with AdCC in some high risk oral and oropharyngeal locations when postoperative RT is not planned, or the rare AdCC-high grade transformation.
Consultant Pathologist Southern California Permanente Medical Group Woodland Hills CA USA
Coordinator of the International Head and Neck Scientific Group
Department of Anatomic Pathology Hospital Clinic University of Barcelona Barcelona Spain
Department of Biomedical Sciences and Medicine University of Algarve Faro Portugal
Department of Otolaryngology Head and Neck Surgery Philipp University Marburg Germany
Department of Otolaryngology Hospital Universitario Central de Asturias Oviedo Spain
Department of Pathology Allegiance Health Jackson MI USA
Department of Pathology Beth Israel Medical Center New York NY USA
Department of Pathology Charles University Prague Faculty of Medicine in Plzen Plzen Czech Republic
Department of Pathology Radboud University Medical Center Nijmegen The Netherlands
Department of Pathology The University of Texas MD Anderson Cancer Center Houston TX USA
Department of Pathology University of Pittsburgh School of Medicine Pittsburgh PA USA
Department of Radiation Oncology Institute of Oncology Ljubljana Slovenia
Department of Radiation Oncology University of Florida Gainesville FL USA
Department of Surgery Banner MD Anderson Cancer Center Gilbert AZ USA
European Salivary Gland Society Geneva Switzerland
Fundación de Investigación e Innovación Biosanitaria del Principado de Asturias Oviedo Spain
Head and Neck Surgery Memorial Sloan Kettering Cancer Center New York NY USA
Instituto Universitario de Oncología del Principado de Asturias Universidad de Oviedo Oviedo Spain
University of Udine School of Medicine Udine Italy
Citace poskytuje Crossref.org
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- $a The purpose of this study was to suggest general guidelines in the management of the N0 neck of oral cavity and oropharyngeal adenoid cystic carcinoma (AdCC) in order to improve the survival of these patients and/or reduce the risk of neck recurrences. The incidence of cervical node metastasis at diagnosis of head and neck AdCC is variable, and ranges between 3% and 16%. Metastasis to the cervical lymph nodes of intraoral and oropharyngeal AdCC varies from 2% to 43%, with the lower rates pertaining to palatal AdCC and the higher rates to base of the tongue. Neck node recurrence may happen after treatment in 0-14% of AdCC, is highly dependent on the extent of the treatment and is very rare in patients who have been treated with therapeutic or elective neck dissections, or elective neck irradiation. Lymph node involvement with or without extracapsular extension in AdCC has been shown in most reports to be independently associated with decreased overall and cause-specific survival, probably because lymph node involvement is a risk factor for subsequent distant metastasis. The overall rate of occult neck metastasis in patients with head and neck AdCC ranges from 15% to 44%, but occult neck metastasis from oral cavity and/or oropharynx seems to occur more frequently than from other locations, such as the sinonasal tract and major salivary glands. Nevertheless, the benefit of elective neck dissection (END) in AdCC is not comparable to that of squamous cell carcinoma, because the main cause of failure is not related to neck or local recurrence, but rather, to distant failure. Therefore, END should be considered in patients with a cN0 neck with AdCC in some high risk oral and oropharyngeal locations when postoperative RT is not planned, or the rare AdCC-high grade transformation.
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