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THE RATE OF PATHOLOGIC OCCULT NECK DISEASE IN PATIENTS WITH METASTATIC SQUAMOUS CELL CARCINOMA TO THE PAROTID OF CUTANEOUS ORIGIN IN THE CLINICALLY NEGATIVE NECK
Author(s) -
Kirke D. N.,
Porceddu S.,
Wallwork B.
Publication year - 2009
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2009.04919_2.x
Subject(s) - medicine , neck dissection , parotidectomy , occult , parotid gland , radiation therapy , radiology , surgery , pathological , cervical lymphadenopathy , carcinoma , disease , pathology , alternative medicine
Background: The aim of this study was to document the rate of pathologic neck disease in patients presenting with metastatic cutaneous squamous cell carcinoma (CSCC) to the parotid gland following parotidectomy and neck dissection in the clinically and radiologic negative neck. Method: The study involved a retrospective chart review from 1999–2008 of patients presenting with metastatic CSCC to parotid at the Princess Alexandra Hospital. Results: Eighty‐one patients with metastatic parotid disease were identified. Seventy (86%) were male, median age was 69 (range 42–91) years and the median follow up was 14 (range 0–101) months. A total of 51 (63%) patients had no clinical or radiological evidence of cervical nodal disease. Thirty‐four of these patients underwent a parotidectomy and neck dissection with/without post‐operative radiotherapy. Occult pathological cervical nodal disease was found in 5 patients. 3 patients relapsed in the parotid, 1 in the neck alone and 1 distantly. Conclusions: Our series has shown that the rate of pathologically involved neck nodes in patients with metastatic CSCC to the parotid in the clinically node negative neck is low. Given many of these patients warrant post‐operative radiotherapy to the parotid bed, and the neck can be treated concurrently, an elective neck dissection may not be warranted.