Clinical inspection of metastasis to the mesenteric lymph nodes in patients with hypopharyngeal cancer after pharyngolaryngectomy with free jejunal graft-136 cases

Sayaka Suzuki, Masato Mochiki, Kazunari Nakao, Takashi Sakamoto, Mizuo Ando, Masashi Sugasawa

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Single-stage reconstruction of the pharyngoesophagus with a free jejunal graft is considered standard surgical treatment for hypopharyngeal cancer. We reviewed postoperative cervical CTs in 72 of 136 consecutive patients (1982-2002) undergoing this therapy in our department. Of these, 29 (40%) showed mesenteric lymph node swelling (>10mm) in grafts. Most swelling is considered reactive, but 1 patient showed pathological metastasis in fine-needle aspiration cytology (FNA). When metastasis is clinically suspected in imaging study and other examinations, FNA should be done carefully with guided ultrasound echo-imaging, to avoid damaging vascular grafts and necrosis of the jejunal graft.

Original languageEnglish
Pages (from-to)19-23
Number of pages5
JournalJournal of Otolaryngology of Japan
Volume109
Issue number1
DOIs
Publication statusPublished - 2006
Externally publishedYes

Keywords

  • Free jejunal graft
  • Hypopharyngeal cancer
  • Imaging study fine-needle aspiration cytology
  • Lymph node metastasis

ASJC Scopus subject areas

  • Otorhinolaryngology

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