Cervical lymph node metastasis in adenoid cystic carcinoma of the larynx: A collective international review Journal Article


Authors: Coca-Pelaz, A.; Barnes, L.; Rinaldo, A.; Cardesa, A.; Shah, J. P.; Rodrigo, J. P.; Suárez, C.; Eloy, J. A.; Bishop, J. A.; Devaney, K. O.; Thompson, L. D. R.; Wenig, B. M.; Strojan, P.; Hamoir, M.; Bradley, P. J.; Gnepp, D. R.; Silver, C. E.; Slootweg, P. J.; Triantafyllou, A.; Vander Poorten, V.; Williams, M. D.; Skálová, A.; Hellquist, H.; Teymoortash, A.; Medina, J. E.; Robbins, K. T.; Pitman, K. T.; Kowalski, L. P.; de Bree, R.; Mendenhall, W. M.; Takes, R. P.; Ferlito, A.
Article Title: Cervical lymph node metastasis in adenoid cystic carcinoma of the larynx: A collective international review
Abstract: 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.
Keywords: neck dissection; treatment; lymph node metastasis; adenocarcinoma; oncology; tumors; clinical protocols; neck; adenoid cystic carcinoma; management; larynx; head; origin; of-the-literature; elective neck dissection; cancer; high-grade transformation; salivary-gland carcinomas
Journal Title: Advances in Therapy
Volume: 33
Issue: 4
ISSN: 0741-238X
Publisher: Springer  
Date Published: 2016-04-01
Start Page: 553
End Page: 579
Language: English
ACCESSION: WOS:000374992100005
DOI: 10.1007/s12325-016-0311-z
PROVIDER: wos
PMCID: PMC4846710
PUBMED: 27084720
Notes: Review -- Source: Wos
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  1. Jatin P Shah
    721 Shah