title: [Evaluation of the causes of lymphatic metastases after surgical treatment of patients with laryngeal cancer].
abstract: During the years 1980-1988 2458 laryngeal cancer patients were operated upon in 4 ENT AM Clinics in Kraków, Poznań, Lublin and Warszawa. 300 (12%) out of them have had the cervical node metastases in 18 months after the surgery. The cause analysis was performed. The primary localizations were in the epiglottic and ++post-cricoid areas. The causes of metastases to the ++lymph nodes were analyzed; the primary epiglottic and ++post-cricoid localization of the tumor, its extensiveness and advanced clinical stage. Twice more often were the nodal metastases stated before the primary treatment, a high degree of histological malignancy, probably insufficient radicality of the surgery and insufficient immunological resistance of the organism were taken in consideration. This group of patients presented a rather high percentage of early unsuccessful results of surgical treatment of the laryngeal cancer; this problem needs further analysis and observations.
authors.affiliation: Kliniki Otolaryngologicznej AM w Krakowie.
authors.forename: B
authors.initials: B
authors.lastname: Semczuk
authors.forename: J
authors.initials: J
authors.lastname: Sekuła
authors.forename: Z
authors.initials: Z
authors.lastname: Szmeja
authors.forename: G
authors.initials: G
authors.lastname: Janczewski
authors.forename: A
authors.initials: A
authors.lastname: Kruk-Zagajewska
authors.forename: E
authors.initials: E
authors.lastname: Olszewski
authors.forename: G
authors.initials: G
authors.lastname: Niedzielska
authors.forename: A
authors.initials: A
authors.lastname: Horoch
authors.forename: E
authors.initials: E
authors.lastname: Osuch-Wójcikiewicz
authors.forename: A
authors.initials: A
authors.lastname: Sieradzki
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects*; D008198:Lymph Nodes / Q000473:pathology*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009333:Neck / Q000473:pathology*; D009367:Neoplasm Staging; D013997:Time Factors
vernacular_title: Ocena przyczyn powstawania przerzutów do wezłów chłonnych po leczeniu operacyjnym chorych na raka krtani.