Incidence of Occult Lymph Node Metastasis in Primary Larynx Squamous Cell Carcinoma, by Subsite, T Classification and Neck Level: A Systematic Review.
Alvaro SanabriaJatin P ShahJesus E MedinaKerry D OlsenK Thomas RobbinsCarl E SilverJuan Pablo RodrigoCarlos SuárezAndrés Coca-PelazAshok R ShahaAntti Aarni MäkitieAlessandra RinaldoRemco de BreePrimoz StrojanMarc HamoirRobert P TakesElisabeth V SjögrenTrinitia CannonLuiz Paulo KowalskiAlfio FerlitoPublished in: Cancers (2020)
The incidence of occult lymph node metastasis is higher in supraglottic and T3-4 tumors. Level I and V and sublevel IIB should not be routinely included in the elective neck treatment of cN0 laryngeal cancer and, in addition, level IV should not be routinely included in cases of supraglottic tumors.