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Cervical Lymph Node Metastasis in Adenoid Cystic Carcinoma of the Larynx: A Collective International Review.

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Coca-Pelaz, Andrés Barnes, Leon Rinaldo, Alessandra Cardesa, Antonio Shah, Jatin P Hamoir, Marc [UCL] Ferlito, Alfio

Adenoid cystic carcinoma (AdCC) of the head and neck is a well-recognized pathologic entity that rarely occurs in the larynx. Although the 5-year locoregional control rates are high, distant metastasis has a tendency to appear more than 5 years post treatment. Because AdCC of the larynx is uncommon, it is difficult to standardize a treatment protocol. One of the controversial points is the decision whether or not to perform an elective neck dissection on these patients. Because there is contradictory information about this issue, we have critically reviewed the literature from 1912 to 2015 on all reported cases of AdCC of the larynx in order to clarify this issue. During the most recent period of our review (1991-2015) with a more exact diagnosis of the tumor histology, 142 cases were observed of AdCC of the larynx, of which 91 patients had data pertaining to lymph node status. Eleven of the 91 patients (12.1%) had nodal metastasis and, based on this low proportion of patients, routine elective neck dissection is therefore not recommended.

Document type Article de périodique (Journal article) – Synthèse de littérature
Access type Accès libre
Publication date 2016
Language Anglais
Journal information "Advances in Therapy : the international journal of drug, device and diagnostic research" - Vol. 33, no.4, p. 553-579 (2016)
Peer reviewed yes
Publisher Springer Healthcare Ltd. ((United States) New York, NY)
issn 0741-238X
e-issn 1865-8652
Publication status Publié
Affiliations UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie
UCL - (SLuc) Service d'oto-rhino-laryngologie
UCL - (SLuc) Centre du cancer
Keywords Adenoid cystic carcinoma ; Clinical protocols ; Elective neck dissection ; Larynx ; Lymph node metastasis ; Neck ; Oncology ; Treatment
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Bibliographic reference Coca-Pelaz, Andrés ; Barnes, Leon ; Rinaldo, Alessandra ; Cardesa, Antonio ; Shah, Jatin P ; et. al. Cervical Lymph Node Metastasis in Adenoid Cystic Carcinoma of the Larynx: A Collective International Review.. In: Advances in Therapy : the international journal of drug, device and diagnostic research, Vol. 33, no.4, p. 553-579 (2016)
Permanent URL http://hdl.handle.net/2078.1/184269