Premium
Oral cavity squamous cell carcinoma metastatic to central compartment (level 6) lymph nodes
Author(s) -
Likhterov Ilya,
Rowe Meghan E.,
Khorsandi Azita S.,
Urken Mark L.
Publication year - 2016
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25740
Subject(s) - lymph , compartment (ship) , basal cell , oral cavity , medicine , carcinoma , oncology , pathology , dentistry , geology , oceanography
Alterations to drainage pathways in the head and neck as a result of surgical manipulation are not well understood. We present two unusual cases of oral squamous cell carcinoma metastatic to the level 6 nodal compartment following extensive treatment. Both oral squamous cell carcinoma cases exhibited metastases to the central neck compartment following extensive surgery and radiation. Each patient had prior history of multifocal oral cavity disease and recurrent neck metastases requiring salvage lymphadenectomy. Surgical interventions may alter the usual lymphatic drainage patterns. In cases of extensive treatment, all levels of the neck should be monitored for lymph node recurrence. Laryngoscope , 126:1803–1805, 2016