[Regional lymph node metastases in carcinoma of the larynx and it valuation for the indication of partial laryngectomy].
The defluxion conditions of lymphatic current, bounded close to the interrelation of anatomical larynx structure and intralaryngeal propagation of cancer, come together the boundary of still authorized and as yet exceeded indication of partial laryngectomy, so that there is to require a strict selection of the particular case. Infinitely good formula and specific loosenings are consequently to refuse for the decision of indication. Referring to the valuation of regional lymph node metastases for the decision of operation in partial resections of the larynx the own experiences directed to the following guiding principles: 1. Early metastases exclude a partial laryngectomie since they announce an already happened exceeding of the organ limits even in make-believe defined neoplasms of the interior of the larynx. 2. The problems of latent metastases can only be prevented by a systematical prophylactic neck dissection, which should be performed principally in case of doubt on the side of the predominant tumour growth. 3. The appearing of late metastases exhibits retrospective the doubtfulness of the effected partial resection and necessitates an essential neck dissection of both sides and if necessary an additional total laryngectomy.
D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy; D007830:Larynx / Q000033:anatomy & histology; D008207:Lymphatic Metastasis; D008722:Methods; D009367:Neoplasm Staging
Regionäre Halslymphknotenmetastasen beim Kehlkopfkarzinom und ihre Bewertung bei der Indikation zur partiellen Laryngektomie.