Level V involvement in patients with early T-stage, node-positive oropharyngeal carcinoma

Kavita M. Pattani, Joseph Califano, Giuseppe Sanguineti

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives/Hypothesis: To assess the risk of level V nodal involvement for early T-stage and node positive oropharyngeal squamous cell carcinoma (ORO-SCC). Methods: Retrospective analysis performed on patients with ORO-SCC and clinically positive lymph nodes who had undergone upfront elective dissection of level V before definitive chemoradiotherapy. Pathological data collected and prevalence of involvement of level V determined. Results: A total of 119 patients had level V dissection. The prevalence of pathologically positive lymph nodes in level V was 3.4% (4/119). Moreover, it was observed only in the presence of pathological involvement of multiple other nodal levels (4/52 patients, 7.7% vs. 0/67 in patients with a single nodal station involved, χ2 P = .02). Conclusions: Subclinical involvement of level V in ORO-SCC is rare, especially in the presence of disease confined to a single nodal level. The present data do not support its dissection after primary chemoradiotherapy.

Original languageEnglish (US)
Pages (from-to)2165-2169
Number of pages5
JournalLaryngoscope
Volume119
Issue number11
DOIs
StatePublished - Nov 2009

Keywords

  • Level V
  • Neck dissection
  • Oropharyngeal cancer

ASJC Scopus subject areas

  • Otorhinolaryngology

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