Predicting occult lymph node metastasis in parotid cancer

R. A. Frankenthaler, R. M. Byers, M. A. Luna, David Callender, P. Wolf, H. Goepfert

Research output: Contribution to journalArticle

82 Citations (Scopus)

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.

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

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Parotid Neoplasms
Facial Paralysis
Lymph Nodes
Facial Nerve
Neoplasm Metastasis
Multivariate Analysis
Neoplasms
Neck Dissection
Fine Needle Biopsy
Neck

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Frankenthaler, R. A., Byers, R. M., Luna, M. A., Callender, D., Wolf, P., & Goepfert, H. (1993). Predicting occult lymph node metastasis in parotid cancer. Archives of Otolaryngology - Head and Neck Surgery, 119(5), 517-520.

Predicting occult lymph node metastasis in parotid cancer. / Frankenthaler, R. A.; Byers, R. M.; Luna, M. A.; Callender, David; Wolf, P.; Goepfert, H.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 119, No. 5, 1993, p. 517-520.

Research output: Contribution to journalArticle

Frankenthaler, RA, Byers, RM, Luna, MA, Callender, D, Wolf, P & Goepfert, H 1993, 'Predicting occult lymph node metastasis in parotid cancer', Archives of Otolaryngology - Head and Neck Surgery, vol. 119, no. 5, pp. 517-520.
Frankenthaler RA, Byers RM, Luna MA, Callender D, Wolf P, Goepfert H. Predicting occult lymph node metastasis in parotid cancer. Archives of Otolaryngology - Head and Neck Surgery. 1993;119(5):517-520.
Frankenthaler, R. A. ; Byers, R. M. ; Luna, M. A. ; Callender, David ; Wolf, P. ; Goepfert, H. / Predicting occult lymph node metastasis in parotid cancer. In: Archives of Otolaryngology - Head and Neck Surgery. 1993 ; Vol. 119, No. 5. pp. 517-520.
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