[Nodal affectation in laryngeal cancer and therapeutic procedures]

Try to establish a relationship between the presence or absence of lymphadenopathy in tumors of the larynx and the location of the tumor and discuss the treatment required in each case.

Data collection sheets were designed for the 224 laryngeal cancer cases diagnosed in the province of Guadalajara between 1975 and 1998, among those data we included the presence or absence of lymph nodes at the time of diagnosis, as well as its location and treatment applied in each patient.

About in a half the cases studied had lymphadenopathy, being about in a half of the cases unilateral and about in a half of the cases bilaterals. The lymph nodes appeared more frequently in the supraglottic and hypopharyngeal tumors and less frequently in the glottic tumors. More extensive surgical interventions corresponded to supraglottic tumors and those affecting multiple levels of the larynx. Lymph node dissection was required in the 87% of supraglottic tumors and in 38.6% of the glottic tumors.

The bigger size of the tumor correlated with more cases with lymphadenopathies and a more extensive treatment had to be applied.