Delphian Lymph Node in Laryngeal Carcinoma: A Whole Organ Study
- 1 March 1997
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 107 (3), 332-334
- https://doi.org/10.1097/00005537-199703000-00010
Abstract
The incidence of Delphian or cricothyroid lymph node involvement in laryngeal carcinoma was studied in whole organ sections of 92 laryngectomy specimens. Histologic examination revealed that of the 92 whole organ sections, 8 were noted to have cricothyroid node involvement (8.7%). All 8 patients had submucosal involvement of the conus elasticus, 7 had involvement of the subglottic mucosa, and 6 had invasion of the cricoid cartilage. Four of the 8 patients with cricothyroid node involvement died of the disease, 3 of whom had stomal recurrence. None of the patients who died of disease had surgical management of the paratracheal lymph nodes or postoperative radiation therapy. The benefit of surgical margins of the paratracheal lymph node bed as well as the role of radiation therapy are discussed.Keywords
This publication has 7 references indexed in Scilit:
- Extended Supracricoid Partial Laryngectomy with TracheocricohyoidoepiglottopexyActa Oto-Laryngologica, 1994
- Paratracheal Lymph Node Dissection for Carcinoma of the Larynx, Hypopharynx, and Cervical EsophagusOtolaryngology -- Head and Neck Surgery, 1993
- The submandibular triangle in squamous cell carcinoma of the larynx and hypopharynxThe Laryngoscope, 1991
- Patterns of Cervical Node Metastases From Squamous Carcinoma of the LarynxJAMA Otolaryngology–Head & Neck Surgery, 1990
- Positive delphian lymph node: Clinical significance in laryngeal cancerThe Laryngoscope, 1987
- LXVIII A Histological Method for the Study of the Spread of Carcinoma within the LarynxAnnals of Otology, Rhinology & Laryngology, 1961
- The incidence of cervical lymph node metastases from epidermoid carcinoma of the larynx and their relationship to certain characteristics of the primary tumor.A study based on the clinical and pathological findings for 96 patients treated by primary en bloc laryngectomy and radical neck dissectionCancer, 1961