Regional Nodal Metastases in Hypopharyngeal SCC

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • In more than 80% of patients:
    • Tumors spread to involve the local lymph nodes are detected on physical examination or by imaging at first presentation
  • The lymphatics fluid flows mostly via collectors into the lymph nodes of :
    • Levels II and III:
      • A direct relationship to level I has not been detected
    • Drainage to involve level IV occurs frequently
  • The lymphatic drainage of the posterior pharyngeal wall occurs:
    • Mainly first into:
      • The retropharyngeal lymph nodes:
        • Accounts for over 40% cases
  • In hypopharyngeal cancers:
    • Because of its advanced stage at presentation and its involvement or extension to cross the midline:
      • The risk of contralateral metastases is high, with histological identification of tumor in:
        • More than 20% of cases treated surgically, and supports the therapeutic decision:
          • To treat both sides of the neck, either by surgery or by radiotherapy in the N0 neck

#Arrangoiz #Teacher #Surgeon #CancerSurgeon #HeadandNeckSurgeon #NasopharyngealCancer

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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