TY  - JOUR
TT  - Baş ve boyun kanserli hastalarda gizli lenf nodu metastazı insidansı
AU  - Kırat, Onur
AU  - Pınarbaşlı, Mehmet Özgür
AU  - Gürbüz, Melek Kezban
AU  - Kaya, Ercan
AU  - Özüdoğru, Erkan
PY  - 2016
DA  - April
JF  - ENT Updates
PB  - AVES YAYINCILIK
WT  - DergiPark
SN  - 2149-7109
SP  - 43
EP  - 45
VL  - 6
IS  - 1
KW  - Head and neck carcinoma
KW  - neck dissection
KW  - occult lymph node metastasis
N2  - Objective: The objective of the study is to determine the incidence ofoccult lymph node metastasis detected in patients with head and neckcancer who applied to our clinic.Methods: Medical files of 107 patients who had been diagnosed ashead and neck cancer between 2007 and 2012 were retrospectivelyexamined. The patients who were accepted as N0 both clinically andradiologically at the time of diagnosis and those who had undergoneneck dissection in addition to the treatment of primary tumor wereincluded in the study. The patients were grouped based on the diagnosisof the primary tumor. Histopathology results of the patients andthose with lymph node metastasis were documented. The proportionof the patients with occult lymph node metastases was calculated andprimary tumor sites with a higher probability of occult lymph nodemetastases were determined.Results: A total of 64 patients were included in the study who were diagnosedas laryngeal (n=42; 65.6%), oral cavity (n=15; 23.4%), parotid gland(n=5; 7.8%), nasal cavity (n=1; 1.5%) and auricular (n=1; 1.5%) carcinomas.Histopathologically lymph node metastases were detected in patients withlaryngeal (n=12; 70.5%), oral cavity (n=4; 23.5%) and parotid gland (n=1;5.8%) carcinomas. Laryngeal cancers were subdivided into supraglottic(n=4), transglottic (n=7) and glottic (n=1) cancers. The highest rate ofmetastasis was detected in patients with transglottic laryngeal carcinoma.Conclusion: Occult lymph node metastasis is an important issue whichshould be kept in mind in cases with head and neck cancers. Location ofprimary tumor is an effective influential factor concerning this issue. Asa result of this study, we thought that occult lymph node metastases arefrequently seen in patients with transglottic laryngeal cancers.
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UR  - https://dergipark.org.tr/en/pub/entupdates/issue//330119
L1  - https://dergipark.org.tr/en/download/article-file/327348
ER  -