원저

성문상부암 치료에 있어 경부청소술의 적응

왕수건1,*, 이병주1, 문영일1, 백무진2
Soo-Geun Wang1,*, Byong-Joo Lee1, Young-Il Moon1, Moo-Jin Baek2
Author Information & Copyright
1부산대학교 의과대학 이비인후과학교실
2인제대학교 부산백병원 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine Pusan National University, Busan, Korea
2Department of Otolaryngology, College of Medicine Inje University Pusan Paik Hospital, Busan, Korea
*교신저자: 왕수건, 602-735 부산광역시 서구 아미동 1-10 부산대학교 의과대학 이비인후과학교실 전화: (051) 240-7331, 7335 전송: (051) 246-8668 E-mail: wangsg@hyowon.cc.ac.kr

© Copyright 2002 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 16, 2002; Accepted: May 14, 2002

Published Online: May 31, 2020

ABSTRACT

Background and Objective: In supraglottic cancer the incidence of lymph node metastsis is higher than other subsites. One of the major controversies in treatment of the supraglottic cancer is how to manage the possibility of neck disease. This study was designed to find out the incidencies of ipsilateral and contralateral lymph node metastasis and to establish the indication of neck dissection according to T stage. Materials and Methods: A retrospective review was undertaken of 49 cases of supraglottic carcinoma at the department of otolaryngology, Pusan National University Hospital between March 1986 and February 1992. Results: In our series of 49 patients, 14 cases had no neck dissection, 19 had unilateral neck dissections, and 16 underwent bilateral neck dissection. Rate of ipsilateral neck metastasis according to T stage was 0% in T1, 40.9% in T2, 59.1% in T3 and 75.0% in T4 respectively. Rate of contralateral neck metastasis according to T stage was 0% in T1, 18.2% in T2, 13.6% in T3 and 0% in T4, respectively. Seven neck failure cases were noted during follow up. Only 2 of the 30 neck dissections had recurred on previous dissected necks. The remaining 5 neck metastasis occurred in unoperated necks, only 1 of those was deemed contralateral to the primary lesion. Rate of subsequent ipsilateral neck recurrence in case of ipsilateral negative nodal metastasis during follow up was 26.6% (4/15 cases). Oveall, 2 year survival rate in negative necks was 66.7%, and that of positive neck was 50.0%. Conclusion: Overall, incidence of ipsilateral lymph node metastasis was 51.0%. Most neck recurrences occured in untreated or radiated ipsilateral necks. Therefore, studies indicate routine neck dissection should be considered in surgical treatment of supraglottic carcinoma. (J Clinical Otolaryngol 2002;13:111-117)

Keywords: 성문상부암; 경부임파절
Keywords: Supraglottic carcinoma; Neck dissection; Lymph node metastasis