Treatment of N in the upper maxillary tumors
| Autor: | Leonardo De Marinis, G Nicolai, Leonardo Calabrese, Gianmarco Prucher, Bruno Lorè |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Adenocarcinoma Oral cavity emptying lymph node maxilla metastasis Squamous cell carcinoma Carcinoma Carcinoma Adenoid Cystic Carcinoma Squamous Cell Disease-Free Survival Gingival Neoplasms Humans Lymphatic Metastasis Maxillary Neoplasms Neck Dissection Neoplasm Invasiveness Neoplasm Recurrence Local Neoplasm Staging Palatal Neoplasms Survival Rate Otorhinolaryngology2734 Pathology and Forensic Medicine Surgery Settore MED/29 - Chirurgia Maxillofacciale High morbidity medicine Basal cell Adenoid Cystic Surgical treatment Lymph node business.industry Cervical metastasis General Medicine stomatognathic diseases medicine.anatomical_structure Neoplasm Recurrence Otorhinolaryngology Squamous Cell Local Maxilla business Hard palate mucosa |
| Popis: | From 2002 to 2008, 86 patients have undergone surgical treatment of malignant upper maxillary tumors at the Maxillo-Facial Surgery Department, Tor Vergata University, Rome. All the N-positive patients at the time of the T therapy have undergone lymph node surgical emptying. In 6 patients, a laterocervical emptying was performed when laterocervical metastases were found. In the remaining 68 patients, with no evidence of N, we did not perform laterocervical emptying. We found in our patients a high percentage of cervical metastasis in T2 squamous cell carcinoma of the maxilla (32.1%). In this article, the authors present the results of their experience in treating N in upper maxillary tumors. This research study highlights some important aspects that have to be considered. Squamous cell carcinoma of the maxilla extending to the oral cavity (T1-T2) shows a higher laterocervical lymphophily than the superoposterior ones (T3-T4). Presence or appearance of lymph node metastases is a high-malignancy index, with a subsequently very negative prognosis. Considering the large percentage of cervical recurrences in T1-T2 squamous cell carcinoma of the maxilla that spread up in the hard palate mucosa and upper gum and the consequently high morbidity, performing a prophylactic laterocervical emptying in these patients could be advisable. Even in the recent literature, we found opinion in favor of this behavior. |
| Databáze: | OpenAIRE |
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