Predicting Occult Lymph Node Metastasis in Parotid Cancer

Robert A. Frankenthaler, Robert M. Byers, Mario A. Luna, David L. Callender, Pat Wolf, Helmuth Goepfert

    Research output: Contribution to journalArticle

    85 Scopus citations

    Abstract

    To determine the factors predictive of occult cervical metastases, we retrospectively reviewed the charts of 99 previously untreated patients with a primary parotid malignancy who underwent elective neck dissection between 1960 and 1985. Univariate and multivariate analyses were performed to determine the predictive value of 11 factors. The univariate study found facial nerve paralysis, extraparotid extension, and perilymphatic invasion statistically significant. In the multivariate analysis of preoperative factors, facial nerve paralysis was most predictive of occult disease. If the variable pool was expanded to include a fine-needle biopsy, tumor grade became the most important preoperative variable. When the analysis was further expanded to include a parotidectomy, the most influential factors were patient age, perilymphatic invasion, and extraparotid tumor extension. This report identifies the variables predictive of occult neck disease in parotid cancer. (Arch Otolaryngol Head Neck Surg. 1993;119:517-520).

    Original languageEnglish (US)
    Pages (from-to)517-520
    Number of pages4
    JournalArchives of Otolaryngology--Head and Neck Surgery
    Volume119
    Issue number5
    DOIs
    StatePublished - May 1993

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    ASJC Scopus subject areas

    • Surgery
    • Otorhinolaryngology

    Cite this

    Frankenthaler, R. A., Byers, R. M., Luna, M. A., Callender, D. L., Wolf, P., & Goepfert, H. (1993). Predicting Occult Lymph Node Metastasis in Parotid Cancer. Archives of Otolaryngology--Head and Neck Surgery, 119(5), 517-520. https://doi.org/10.1001/archotol.1993.01880170041008