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Lymph Node Metastasis in T4 Maxillary Sinus Squamous Cell Carcinoma : Incidence and Treatment Outcome

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/59107

Title: Lymph Node Metastasis in T4 Maxillary Sinus Squamous Cell Carcinoma : Incidence and Treatment Outcome
Authors: Homma, Akihiro Browse this author →KAKEN DB
Hayashi, Ryuichi Browse this author
Matsuura, Kazuto Browse this author
Kato, Kengo Browse this author
Kawabata, Kazuyoshi Browse this author
Monden, Nobuya Browse this author
Hasegawa, Yasuhisa Browse this author
Onitsuka, Tetsuro Browse this author
Fujimoto, Yasushi Browse this author
Iwae, Shigemichi Browse this author
Okami, Kenji Browse this author
Matsuzuka, Takashi Browse this author
Yoshino, Kunitoshi Browse this author
Nibu, Ken-ichi Browse this author
Kato, Takakuni Browse this author
Nishino, Hiroshi Browse this author
Asakage, Takahiro Browse this author
Ota, Ichiro Browse this author
Kitamura, Morimasa Browse this author
Kubota, Akira Browse this author
Ueda, Tsutomu Browse this author
Ikebuchi, Kaichiro Browse this author
Watanabe, Akihito Browse this author
Fujii, Masato Browse this author
Issue Date: May-2014
Publisher: Springer
Journal Title: Annals of Surgical Oncology
Volume: 21
Issue: 5
Start Page: 1706
End Page: 1710
Publisher DOI: 10.1245/s10434-014-3544-6
PMID: 24554063
Abstract: The purpose of this study was to evaluate the incidence of lymph node metastasis among patients with T4 maxillary sinus squamous cell carcinoma (MS-SCC) as well as the delayed metastasis rate and the treatment outcome for untreated N0 neck in patients with T4 MS-SCC. Consecutive series of all patients (n = 128) with previously untreated T4 maxillary sinus SCC between 2006 and 2007 were obtained from 28 institutions belonging to or cooperating in the Head and Neck Cancer Study Group of the Japan Clinical Oncology Group. Of the 128 patients, 28 (21.9 %) had lymph node metastasis, and six patients (4.7 %) had distant metastasis at diagnosis. Among the 111 patients who were treated with curative intent, 98 had clinically N0 neck disease and did not receive prophylactic neck irradiation. A total of 11 patients (11.2 %) subsequently developed evidence of lymph node metastasis, of whom eight were among the 83 patients with an N0 neck and had not received elective neck treatment. There were 15 patients who received an elective neck dissection as part of the initial treatment, of whom three had pathologically positive for lymph node metastases. Of 11 patients, six patients with nonlateral retropharyngeal lymph node metastasis without primary or distant disease were successfully salvaged. This study identified the incidence of lymph node metastasis among patients with T4 MS-SCC as well as the delayed metastasis rate and the treatment outcome for untreated N0 neck in patients with T4 MS-SCC. These results will be of assistance in selecting treatment strategy for T4 MS-SCC in the future.
Rights: The original publication is available at www.springerlink.com
Type: article (author version)
URI: http://hdl.handle.net/2115/59107
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 本間 明宏

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