Cervical lymph node metastases of cutaneous squamous cell carcinoma of the head and neck. Personal series and pronostic factors studies, management of cervical nodes

摘要

Squamous cell skin carcinoma has a relatively low rate of metastasis(0.5 to 16/100), but the prognosis of these metastases is poor(22/100 of survival at 5 years). Patients and methods: from a series of 243 patients, we studied 13 patients who were found initially to have metastases or who developed metastases later. Fifty-four percent(54/100)of the patients presented initially with regional lymph node and parotid involvement in 54/100. Results: all patients underwent surgery with removal of the skin cancer and a neck dissection. Radiotherapy was performed later in 92/100 of the cases.