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The pathologist's appraisal of neck dissections

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Summary

A critical assessment is presented on the discription and interpretation of histopathological findings in neck dissections undertaken in patients with squamous carcinomas originating in the head and neck. The topics covered include the localization and measurement of nodal metastases, variant histopathological appearances, micrometastases and extranodal spread.

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References

  1. Berlinger NT, Tsakraklides V, Pollak K, Adams GL, Yang M, Good RA (1976) Prognostic significance of lymph node histology in patients with squamous cell carcinoma of the larynx, pharynx, or oral cavity. Laryngoscope 86:792–803

    Google Scholar 

  2. Byers RM, Wolf PF, Ballantyne AJ (1988) Rationale for elective modified neck dissection. Head Neck Surg 10:160–167

    Google Scholar 

  3. Cachin Y, Sancho-Garnier H, Micheau C, Marandas P (1979) Nodal metastasis from carcinomas of the oropharynx. Otolaryngol Clin North Am 12:145–154

    Google Scholar 

  4. Carter R (1992) Pathology of squamous carcinomas of the head and neck. Curr Opin Oncol 4:485–490

    Google Scholar 

  5. Carter RL (1993) Pathology of squamous carcinomas of the head and neck. Curr Opin Oncol 5:491–495

    Google Scholar 

  6. Carter RL, Bliss JM, Soo K-C, O'Brien J (1987) Radical neck dissections for squamous carcinomas: pathological findings and their clinical implications with particular reference to transcapuslar spread. Int J Radiat Oncol Biol Phys 13:825–832

    CAS  PubMed  Google Scholar 

  7. Gilmore BB, Repola DA, Batsakis JG (1978) Carcinoma of the larynx: lymph node reaction patterns. Laryngoscope 88:1333–1338

    Google Scholar 

  8. Groote AD, Oosterhuis JW, Molenaar WM, Vermey A, Osnabrugge-Bondon C van, Arnold LV (1985) Methods in laboratory investgation. Radiographic imaging of lymph nodes in lymph node dissection specimens. Lab Invest 52:326–329

    Google Scholar 

  9. Johnson JT, Barnes EL, Myers EN, Schramm VL, Borochovitz D, Sigler BA (1981) The extracapsular spread of tumors in cervical node metastasis. Arch Otolaryngol 107:725–729

    CAS  PubMed  Google Scholar 

  10. Lindberg R (1972) Distribution of cervical lymph node metastases from squamous cell carcinoma of the upper respiratory and digestive tracts. Cancer 29:1446–1449

    Google Scholar 

  11. Medina JE (1989) A rational classification of neck dissections. Otolaryngol Head Neck Surg 100:169–176

    Google Scholar 

  12. Micheau C, Cachin Y, Caillou B (1974) Cystic metastases in the neck revealing occult carcinoma of the tonsil. Cancer 33:228–233

    Google Scholar 

  13. Pohris E, Eichhorn T, Glanz H, Kleinsasser O (1987) Immunohistological reaction patterns of cervical lymph nodes in patients with larnygeal carcinomas. Arch Otorhinolaryngol 244:278–283

    Google Scholar 

  14. Richard JM, Sancho-Garnier H, Saravane D, Micheau C, Cachin Y (1987) Prognostic factors in cervical lymph node metastasis in upper respiratory and digestive tract carcinomas: study of 1,713 cases during a 15-year period. Laryngoscope 97:97–101

    CAS  PubMed  Google Scholar 

  15. Robbins KT, Medina JE, Wolfe GT, Levine PA, Sessions RB, Pruet CW (1991) Standardizing neck dissection terminology. Arch Otolaryngol Head Neck Surg 117:601–605

    Google Scholar 

  16. Shah JP (1990) Patterns of cervical lymph node metastasis from squamous carcinomas of the upper aerodigestive tract. Am J Surg 160:405–409

    Google Scholar 

  17. Shah JP, Strong E, Spiro RH, Vikram B (1981) Neck dissection: current status and future possibilities. Clin Bull 11:25–33

    Google Scholar 

  18. Snow GB, Annyas AA, Slooten EA van, Bartelink H, Hart AAM (1982) Prognostic factors of neck node metastasis. Clin Otolaryngol 7:185–192

    CAS  PubMed  Google Scholar 

  19. Snyderman NL, Johnson JT, Schramm VL, Myers EN, Bedetti CD, Thearle P (1985) Extracapsular spread of carcinoma in cervical lymph nodes. Impact upon survival in patients with carcinoma of the supraglottic larynx. Cancer 56:1597–1599

    CAS  PubMed  Google Scholar 

  20. Tanner NSB, Carter RL, Dalley VM, Clifford P, Shaw HJ (1980) The irradiated radical neck dissection in squamous carcinoma: a clinico-pathological study. Clin Otolaryngol 5:259–271

    CAS  PubMed  Google Scholar 

  21. Toker C (1963) Some observations on the deposition of metastatic carcinoma within cervical lymph nodes. Cancer 16:364–374

    CAS  PubMed  Google Scholar 

  22. Van den Brekel MWM, Stel HV, Castelijns JA, Croll GJ, Snow GB (1991) Lymph node staging in patients with clinically negative neck examinations of ultrasound and ultrasound-guided aspiration cytology. Am J Surg 162:362–366

    Google Scholar 

  23. Van den Brekel MW, Stel HV, Valk P van der, Waal I van der, Meyer CJLM, Snow GB (1992) Micrometastases from squamous cell carcinoma in neck dissection specimens. Eur Arch Otorhinolaryngol 249:349–353

    Google Scholar 

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Authors and Affiliations

  1. Department of Histopathology, Haddow Laboratories, Royal Marsden Hospital, SM2 5PT, Sutton, Surrey, UK

    R. L. Carter

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  1. R. L. Carter
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Based on a presentation at the International Symposium on the N0 neck: Göttingen, September 1992

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Carter, R.L. The pathologist's appraisal of neck dissections. Eur Arch Otorhinolaryngol 250, 429–431 (1993). https://doi.org/10.1007/BF00181083

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  • DOI: https://doi.org/10.1007/BF00181083

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