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Titolo:
Do nodal metastases from cutaneous melanoma of the head and neck follow a clinically predictable pattern?
Autore:
Pathak, I; OBrien, CJ; Petersen-Schaeffer, K; McNeil, EB; McMahon, J; Quinn, MJ; Thompson, JF; McCarthy, WH;
Indirizzi:
RPAN Med Ctr, Dept Head & Neck Surg, Newtown, NSW 2042, Australia RPAN MedCtr Newtown NSW Australia 2042 urg, Newtown, NSW 2042, Australia Royal Prince Alfred Hosp, Sydney Melanoma Unit, Camperdown, NSW 2050, Australia Royal Prince Alfred Hosp Camperdown NSW Australia 2050 SW 2050, Australia
Titolo Testata:
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK
fascicolo: 9, volume: 23, anno: 2001,
pagine: 785 - 790
SICI:
1043-3074(200109)23:9<785:DNMFCM>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
LYMPHOSCINTIGRAPHY;
Keywords:
metastatic melanoma; head and neck melanoma; neck dissection; lymphoscintigraphy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
6
Recensione:
Indirizzi per estratti:
Indirizzo: O'Brien, CJ RPAN Med Ctr, Dept Head & Neck Surg, Suite 209,100 Carillon Avee, Newtown,NSW 2042, Australia RPAN Med Ctr Suite 209,100 Carillon Avee Newtown NSW Australia 2042
Citazione:
I. Pathak et al., "Do nodal metastases from cutaneous melanoma of the head and neck follow a clinically predictable pattern?", HEAD NECK, 23(9), 2001, pp. 785-790

Abstract

Background. Potential lymphatic drainage patterns from cutaneous melanomasof the head and neck are said to be variable and frequently unpredictable. The aim of this article is to correlate the anatomic distribution of pathologically involved lymph nodes with primary melanoma sites and to compare these findings with clinically predicted patterns of metastatic spread. Methods. A prospectively documented series of 169 patients with pathologically proven metastatic melanoma was reviewed by analyzing the clinical, operative, and pathologic records. Clinically, it was predicted that melanomasof the anterior scalp, forehead, and face could metastasize to the parotidand neck levels I-III; the coronal scalp, ear, and neck to the parotid andlevels I-V; the posterior scalp to occipital nodes and levels II-V; and the lower neck to levels III-V. Minimum follow up was 2 years. Results. There were 141 therapeutic (97 comprehensive, 44 selective) and 28 elective lymphadenectomies (4 comprehensive dissections, 21 selective neck dissections, and 3 cases in which parotidectomy alone was performed). Overall, there were 112 parotidectomies, 44 of which were therapeutic and 68 elective. Pathologically positive nodes involved clinically predicted nodal groups in 156 of 169 cases (92.3%). The incidence of postauricular node involvement was only 1.5% (3 cases). No patient was initially seen with contralateral metastatic disease; however, 5 patients (2.9%) failed in the contralateral neck after therapeutic dissection. In 68% of patients, metastatic disease involved the nearest nodal group, and in 59% only a single node was involved. Conclusions. Cutaneous malignant melanomas of the head and neck metastasized to clinically predicted nodal groups in 92% of patients in this series. Postauricular and contralateral metastatic node involvement was uncommon. (C) 2001 John Wiley & Sons, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/08/20 alle ore 20:51:52