Your browser doesn't support javascript.
loading
Impact of cervical lymph node metastasis on transoral surgery for hypopharyngeal squamous cell carcinoma: A retrospective multicenter study.
Ushiro, Koji; Watanabe, Yoshiki; Kishimoto, Yo; Kawai, Yoshitaka; Fujimura, Shintaro; Asato, Ryo; Tsujimura, Takashi; Hori, Ryusuke; Kumabe, Yohei; Yasuda, Kaori; Tamaki, Hisanobu; Iki, Takehiro; Kitani, Yoshiharu; Kurata, Keisuke; Kojima, Tsuyoshi; Takata, Kuniaki; Kada, Shinpei; Takebayashi, Shinji; Shinohara, Shogo; Hamaguchi, Kiyomi; Miyazaki, Masakazu; Ikenaga, Tadashi; Maetani, Toshiki; Harada, Hiroyuki; Haji, Tomoyuki; Omori, Koichi.
Afiliación
  • Ushiro K; Department of Otolaryngology - Head & Neck Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
  • Watanabe Y; Department of Otolaryngology - Head & Neck Surgery, Japanese Red Cross Osaka Hospital, Osaka, Japan.
  • Kishimoto Y; Department of Otolaryngology - Head & Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Kawai Y; Department of Otolaryngology - Head & Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Fujimura S; Department of Otolaryngology - Head & Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Asato R; Department of Otolaryngology - Head & Neck Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
  • Tsujimura T; Department of Otolaryngology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.
  • Hori R; Department of Otolaryngology - Head and Neck Surgery, University of Occupational and Environmental Health, Kitakyushu, Japan.
  • Kumabe Y; Department of Otolaryngology - Head & Neck Surgery, Fujita Health University, Toyoake, Japan.
  • Yasuda K; Department of Otolaryngology - Head & Neck Surgery, Tenri Hospital, Tenri, Japan.
  • Tamaki H; Department of Otolaryngology - Head & Neck Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
  • Iki T; Department of Otolaryngology - Head & Neck Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Japan.
  • Kitani Y; Department of Otolaryngology - Head & Neck Surgery, Kurashiki Central Hospital, Kurashiki, Japan.
  • Kurata K; Department of Otolaryngology - Head & Neck Surgery, Kurashiki Central Hospital, Kurashiki, Japan.
  • Kojima T; Department of Otolaryngology - Head & Neck Surgery, Shizuoka General Hospital, Shizuoka, Japan.
  • Takata K; Department of Otolaryngology - Head & Neck Surgery, Shizuoka General Hospital, Shizuoka, Japan.
  • Kada S; Department of Otolaryngology - Head & Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Takebayashi S; Department of Otolaryngology - Head & Neck Surgery, Tenri Hospital, Tenri, Japan.
  • Shinohara S; Department of Otolaryngology - Head & Neck Surgery, Tenri Hospital, Tenri, Japan.
  • Hamaguchi K; Department of Otolaryngology - Head & Neck Surgery, Japanese Red Cross Otsu Hospital, Otsu, Japan.
  • Miyazaki M; Department of Otolaryngology - Head & Neck Surgery, Shiga General Hospital, Moriyama, Japan.
  • Ikenaga T; Department of Otolaryngology - Head & Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Maetani T; Department of Otolaryngology - Head & Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
  • Harada H; Department of Otolaryngology - Head & Neck Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Haji T; Department of Otolaryngology - Head & Neck Surgery, Nara Prefecture General Medical Center, Nara, Japan.
  • Omori K; Department of Otolaryngology - Head & Neck Surgery, Nara Prefecture General Medical Center, Nara, Japan.
Head Neck ; 46(8): 1913-1921, 2024 08.
Article en En | MEDLINE | ID: mdl-38294099
ABSTRACT

BACKGROUND:

Hypopharyngeal carcinoma is likely to spread to the lymph nodes, but there is no established strategy for management in transoral surgery.

METHODS:

We compared oncologic and functional outcomes in a retrospective multicenter study of patients who underwent transoral surgery for hypopharyngeal carcinoma between 2015 and 2021.

RESULTS:

Two-hundred and thirty-two patients were included. Comparing patients with and without adjuvant radiotherapy, 3-year regional recurrence-free survival (RRFS) was not significantly different in pN2b and pN2c, but was significantly worse in pN3b without adjuvant radiotherapy. In patients without neck dissection, the 3-year RRFS was 85.6%, 76.8%, and 70.0% for T1, T2, and T3 primary lesions, respectively, and was significantly worse for T2 or higher (p = 0.035).

CONCLUSIONS:

In the absence of extracapsular invasion, regional control did not deteriorate without adjuvant therapy. If prophylactic neck dissection is not performed, careful follow-up is necessary if the primary lesion is T2 or greater.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección del Cuello / Neoplasias Hipofaríngeas / Metástasis Linfática Tipo de estudio: Clinical_trials Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección del Cuello / Neoplasias Hipofaríngeas / Metástasis Linfática Tipo de estudio: Clinical_trials Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Head Neck Asunto de la revista: NEOPLASIAS Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos