Korean J Otorhinolaryngol-Head Neck Surg.
2013 Dec;56(12):769-772. 10.3342/kjorl-hns.2013.56.12.769.
Patterns of Regional Metastasis in Patients with Periorbital Cancer
- Affiliations
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- 1Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea. jhunhah@snu.ac.kr
- 2Marronnier ENT Clinic, Seoul, Korea.
- 3Department of Otolaryngology-Head and Neck Surgery, National Medical Center, Seoul, Korea.
- 4Sensory Organ Research Institute, Medical Research Center, Seoul National University, Seoul, Korea.
- 5Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
- KMID: 1798114
- DOI: http://doi.org/10.3342/kjorl-hns.2013.56.12.769
Abstract
- BACKGROUND AND OBJECTIVES
To identify patterns of regional metastasis according to primary tumor location in patients with malignant periorbital tumor.
SUBJECTS AND METHOD
We retrospectively reviewed the medical records of the patients diagnosed with periorbital malignant tumors between 1997 and 2008. We analyzed demographic data, pathologic diagnosis, primary tumor location, lymph node metastasis and recurrences.
RESULTS
Ninety-five patients with periorbital cancer were reviewed. Amongst them, 16 patients (M : F=7 : 9, mean age: 57.0 years) had regional metastasis. The follow-up duration of 16 patients was 46.2 months on the average. Nine tumors were located in the medial half, two tumors in the lateral half and five tumors in both halves. The parotid gland was the most common regional metastatic site regardless of primary tumor location, and whether or not medially located.
CONCLUSION
The parotid gland lymph node group is crucial for medially located periorbital tumor as well as for laterally located one. Once a malignant periorbital tumor is diagnosed, the whole cervical and parotid lymph nodes should be evaluated carefully.
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