Supraspinal accessory lymph node metastases in supraomohyoid neck dissection Conference Paper


Authors: Kraus, D. H.; Rosenberg, D. B.; Davidson, B. J.; Shaha, A. R.; Spiro, R. H.; Strong, E. W.; Schantz, S. P.; Shah, J. P.
Title: Supraspinal accessory lymph node metastases in supraomohyoid neck dissection
Conference Title: 4th International Conference on Head and Neck Cancer
Abstract: BACKGROUND: Some patients undergoing surgical resection of primary squamous cell carcinoma of the oral cavity and oropharynx also undergo supraomohyoid neck dissection for staging of the negative (N(o)) neck. Dissection of the supraspinal accessory lymph node pad requires significant traction of the spinal accessory nerve. There are currently no data to indicate the incidence of metastases to this site and thus the necessity of performing dissection of these nodes. METHODS: A prospective analysis of a consecutive series of 44 patients with newly diagnosed squamous carcinoma of the oral cavity or oropharynx undergoing surgical management of the primary lesion with staging neck dissection was performed. Patients underwent unilateral (41) or bilateral (3) supraomohyoid neck dissection with separate submission of the supraspinal accessory lymph node pad for pathologic evaluation to determine the incidence of nodal metastases. RESULTS: A total of 15 patients (32%) had microscopic metastatic squamous cell carcinoma involving the supraomohyoid neck dissection specimen. Only 1 patient had a metastatic deposit involving the supraspinal accessory lymph node pad. This patient also had metastases in additional lymph nodes at level II. There was an equal incidence of metastases for all patients when stratifying by T stage. CONCLUSION: This preliminary report reveals a small incidence of supraspinal accessory lymph node metastases in patients with T + N0 squamous cell carcinoma of the oral cavity and oropharynx. We continue to accrue patients to determine if the incidence of supraspinal accessory lymph node metastases varies with an increased number of patients.
Keywords: adolescent; adult; clinical article; aged; aged, 80 and over; middle aged; surgical technique; neck dissection; squamous cell carcinoma; carcinoma, squamous cell; conference paper; cancer staging; lymph node metastasis; lymphatic metastasis; lymph node excision; prospective studies; head and neck neoplasms; oropharynx cancer; neck; surgical anatomy; mouth cancer; accessory nerve; humans; human; male; female; priority journal
Journal Title American Journal of Surgery
Volume: 172
Issue: 6
Conference Dates: 1996 Jul 28-Aug 1
Conference Location: Toronto, Canada
ISBN: 0002-9610
Publisher: Elsevier Inc.  
Date Published: 1996-12-01
Start Page: 646
End Page: 649
Language: English
DOI: 10.1016/s0002-9610(96)00299-1
PUBMED: 8988668
PROVIDER: scopus
DOI/URL:
Notes: Conference Paper -- Export Date: 22 November 2017 -- Source: Scopus
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MSK Authors
  1. Dennis Kraus
    267 Kraus
  2. Ashok R Shaha
    559 Shaha
  3. Stimson P Schantz
    113 Schantz
  4. Jatin P Shah
    577 Shah
  5. Elliot W Strong
    52 Strong
  6. Ronald H Spiro
    58 Spiro