후두 및 하인두 편평세포암종의 경부 잠재전이율

Occult Neck Metastasis Rate of Laryngeal and Hypopharyngeal Squamous Cell Carcinoma

  • 최은창 (연세대학교 의과대학 이비인후과학교실) ;
  • 김동영 (연세대학교 의과대학 이비인후과학교실) ;
  • 고윤우 (연세대학교 의과대학 이비인후과학교실) ;
  • 홍정표 (연세대학교 의과대학 이비인후과학교실) ;
  • 이세영 (연세대학교 의과대학 이비인후과학교실) ;
  • 홍원표 (연세대학교 의과대학 이비인후과학교실)
  • Choi Eun-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Kim Dong-Young (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Koh Yoon-Woo (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Hong Jung-Pyoe (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Lee Sei-Young (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Hong Won-Pyo (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • 발행 : 1999.05.01

초록

Background and Objectives: Occult neck metastasis rate of laryngeal and hypopharyngeal cancer varies widely depending upon authors. Materials and Methods: Sixty four cases, previously untreated, of N0 laryngeal and hypopharyngeal squamous cell carcinoma patients who underwent surgery as an initial treatment from 1992 to 1997 were evaluated. All had unilateral or bilateral elective neck dissection at the time of surgery for the primary. Occult neck metastasis rate was evaluated with pathologic examination of neck dissection specimen. Results: Occult neck metastasis rate by primary site was as follows. Supraglottis ipsilateral 32%(8/25) contralateral 15%(3/20), glottis ipsilateral 17%(5/30), contralateral 0%(0/22), hypopharynx ipsilateral 78%(7/9), contralateral 25%(2/8). Conclusion: Supraglottic and hypopharyngeal cancer may need elective neck treatment bilaterally. Occult neck metastasis of glottic cancer to opposite site was minimal.

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