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Surgical Limits in Cancer

Surgical Limits in Cancer Abstract THE LIMITS OF SURGERY to eradicate potential areas of lymphatic spread from carcinoma of the subglottic larynx and lesions of the pyriform sinus apex have been of great concern to laryngologists in planning the most likely cure of carcinomas arising in these areas. Carcinoma of the larynx behaves in widely differing manners in its primary and metastatic sites. The two areas mentioned above certainly can be encompassed more accurately when the extent of the tumor is known by an exacting direct laryngoscopy or hypopharyngoscopy, by laryngograms or tomograms. The areas of spread present another problem in that the lateral neck may not be the principal area of spread; therefore, when carcinoma arises primarily or extends to the subglottic area from a cordal lesion, immediate attention must be given to the thyroid gland and the paratracheal and recurrent laryngeal chair of lymph nodes because subclinical metastasis may go unnoticed, concealed either References 1. Rouviere, H.: Anatomy of the Human Lymphatic System , Ann Arbor, Mich: Edward Brothers, Inc., 1938. 2. Delamere, G.; Poirier, P.; and Cuneo, B.: The Lymphatics , C.H. Leaf (trans), London: Constable and Company Ltd., 1913, p 301. 3. Welsh, L.W.: The Normal Laryngeal Lymphatics , Ann Otol 73:569-582 ( (Sept) ) 1964. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00760060492009
Publisher site
See Article on Publisher Site

Abstract

Abstract THE LIMITS OF SURGERY to eradicate potential areas of lymphatic spread from carcinoma of the subglottic larynx and lesions of the pyriform sinus apex have been of great concern to laryngologists in planning the most likely cure of carcinomas arising in these areas. Carcinoma of the larynx behaves in widely differing manners in its primary and metastatic sites. The two areas mentioned above certainly can be encompassed more accurately when the extent of the tumor is known by an exacting direct laryngoscopy or hypopharyngoscopy, by laryngograms or tomograms. The areas of spread present another problem in that the lateral neck may not be the principal area of spread; therefore, when carcinoma arises primarily or extends to the subglottic area from a cordal lesion, immediate attention must be given to the thyroid gland and the paratracheal and recurrent laryngeal chair of lymph nodes because subclinical metastasis may go unnoticed, concealed either References 1. Rouviere, H.: Anatomy of the Human Lymphatic System , Ann Arbor, Mich: Edward Brothers, Inc., 1938. 2. Delamere, G.; Poirier, P.; and Cuneo, B.: The Lymphatics , C.H. Leaf (trans), London: Constable and Company Ltd., 1913, p 301. 3. Welsh, L.W.: The Normal Laryngeal Lymphatics , Ann Otol 73:569-582 ( (Sept) ) 1964.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1968

References

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