dc.contributor.author | Karatay, MC | |
dc.contributor.author | Katircioglu, OS | |
dc.contributor.author | Suoglu, Y | |
dc.contributor.author | Sunay, T | |
dc.contributor.author | Erdamar, B | |
dc.date.accessioned | 2021-03-06T08:26:52Z | |
dc.date.available | 2021-03-06T08:26:52Z | |
dc.date.issued | 2002 | |
dc.identifier.citation | Suoglu Y., Erdamar B., Katircioglu O., Karatay M., Sunay T., "Extracapsular spread in ipsilateral neck and contralateral neck metastases in laryngeal cancer", ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, cilt.111, ss.447-454, 2002 | |
dc.identifier.issn | 0003-4894 | |
dc.identifier.other | av_e0ed75a5-0e24-4acd-ab25-307e1fe7f2cb | |
dc.identifier.other | vv_1032021 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12627/148121 | |
dc.identifier.uri | https://doi.org/10.1177/000348940211100510 | |
dc.description.abstract | We investigated the incidence of extracapsular spread (ECS) and the impact of ECS on contralateral neck metastasis in 67 patients with ipsilateral nodal metastasis (IpN+) whose records were extracted retrospectively from those of 155 laryngeal cancer patients. The incidence of ECS in association with variables was determined: T stage, N stage, tumor location, tumor extension, number of positive nodes, and contralateral neck status. The variables were evaluated to identify their impact on the rates of contralateral neck metastasis (CNM) and 3-year survival. Of the 67 patients, 30 (44.7%) had ECS. A significant relationship was found between ECS positivity and increased N stage, tumor extension up to the midline, number of positive nodes, and CNM (p=.04, p=.0001, p=.018. p=.0001, respectively). Multivariate analysis revealed that N stage (p=.002; odds ratio, 3.5517) and the presence of ECS (p=.0036; odds ratio, 7.7840) in IpN+ were associated with the greatest risk of CNM. The 3-year survival rate of patients with ipsilateral ECS was significantly lower than that of patients without ECS (43% versus 81%, p=.0002). Both CNM and presence of ECS in IpN+ emerged as significant independent predictors for survival with Cox multivariate analysis (p=.0086 and p=.0234, respectively). This result indicates the necessity of treating the contralateral NO neck in cases of IpN+ with ECS. | |
dc.language.iso | eng | |
dc.subject | Kulak Burun Boğaz | |
dc.subject | KULAK BURUN BOĞAZ | |
dc.subject | Klinik Tıp | |
dc.subject | Klinik Tıp (MED) | |
dc.subject | Tıp | |
dc.subject | Sağlık Bilimleri | |
dc.subject | Cerrahi Tıp Bilimleri | |
dc.title | Extracapsular spread in ipsilateral neck and contralateral neck metastases in laryngeal cancer | |
dc.type | Makale | |
dc.relation.journal | ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY | |
dc.contributor.department | , , | |
dc.identifier.volume | 111 | |
dc.identifier.issue | 5 | |
dc.identifier.startpage | 447 | |
dc.identifier.endpage | 454 | |
dc.contributor.firstauthorID | 165020 | |