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Metastasis02:30

Metastasis

Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...

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Quantification of Tumor Cell Adhesion in Lymph Node Cryosections
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Predictors of extracapsular spread in lymph node metastasis.

Kadir Imre1, Ercan Pinar, Semih Oncel

  • 1Otolaryngology Department, Ataturk Training and Research Hospital, Izmir, Turkey.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|September 28, 2007
PubMed
Summary

The number of metastatic lymph nodes (≥3) is a key predictor of extracapsular spread (ECS) in laryngeal and hypopharyngeal cancer. Contralateral neck dissection is recommended for patients with ipsilateral lymph node metastasis and ECS.

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Area of Science:

  • Oncology
  • Head and Neck Surgery
  • Pathology

Background:

  • Extracapsular spread (ECS) is a critical factor in head and neck cancer prognosis.
  • Understanding predictors of ECS is vital for treatment planning in laryngeal and hypopharyngeal cancers.

Purpose of the Study:

  • To investigate clinical and pathological parameters influencing extracapsular spread (ECS) in laryngeal and hypopharyngeal cancer patients with lymph node metastasis.
  • To identify independent predictors of ECS and its impact on contralateral neck metastasis (CNM).

Main Methods:

  • Retrospective analysis of 186 patients with laryngeal and hypopharyngeal cancer.
  • Evaluation of 342 neck dissections, focusing on the relationship between ECS and various clinicopathological factors.

Main Results:

  • 31 out of 76 patients (40.7%) with lymph node metastasis exhibited ECS.
  • Tumor location, pathologic N stage, number of metastatic lymph nodes, metastatic lymph node diameter, and CNM were significantly associated with ECS (P < 0.05).
  • The number of metastatic lymph nodes (≥3) was the only significant independent predictor of ECS (P < 0.05; OR: 11.6).

Conclusions:

  • The number of metastatic lymph nodes (≥3) is a reliable predictor of extracapsular spread (ECS).
  • Contralateral neck dissection should be considered for patients with ipsilateral lymph node metastasis and evidence of ECS.