This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Rao Mantravadi, MD; Arthur Katz, MD; Richard Haas; Edwin J. Liebner, MD; David Sabato, MD; Emanuel Skolnik, MD; Edward L. Applebaum, MD

Arch Otolaryngol. 1982;108(2):108-111.

Abstract
• Radiotherapy alone was used to treat 187 patients with a head and neck cancer and clinically uninvolved lymph nodes. Delayed lymph node metastases developed in 35 (19%) patients, and concomitant tumor at the primary site was present in 90% of them. In two (1%) of the 187 patients, delayed metastases developed in the irradiated nodes with the primary tumor controlled; both of these patients received a radiation dose of less than 5,000 rad. Metastases in supraclavicular and posterior cervical regions occurred in 4% of the patients; and these sites were not included in the original radiation fields. The following conclusions were reached: (1) a radiation dose of 5,000 rad or more can eradicate 99% of the subclinical carcinomas in lymph nodes; (2) whole-neck irradiation is not indicated in patients with N_o stage tumor; and (3) surgical resection of primary tumors alone, without added neck dissection, may be adequate if postoperative radiation therapy is planned.

(Arch Otolaryngol 1982;108:108-111)

Author Affiliations
From the Departments of Radiology (Drs Mantravadi and Liebner and Mr Haas) and Otolaryngology (Drs Katz, Sabato, Skolnik, and Applebaum), University of Illinois Hospital and Eye and Ear Infirmary, Chicago.

Footnotes
Accepted for publication Sept 25, 1981.

Reprint requests to Department of Radiology University of Illinois Hospital, 1740 W Taylor St Chicago, IL 60612 (Dr Mantravadi).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Radiotherapy or Surgery for Subclinical Cervical Node Metastases
Chow et al.
Arch Otolaryngol Head Neck Surg 1989;115:981-984.
ABSTRACT  

Computed Tomography of Cervical Lymph Nodes: Staging and Management of Head and Neck Cancer
Stevens et al.
Arch Otolaryngol Head Neck Surg 1985;111:735-739.
ABSTRACT  

Metastatic Neck Disease: Evaluation by Computed Tomography
Friedman et al.
Arch Otolaryngol Head Neck Surg 1984;110:443-447.
ABSTRACT  

Patterns of Cancer Recurrence in the Postoperatively Irradiated Neck
Mantravadi et al.
Arch Otolaryngol Head Neck Surg 1983;109:753-756.
ABSTRACT