Management of Positive Cervical Lymph Nodes in Parotid Cancer

Objective: Assessment the management of positive cervical lymph nodes in parotid cancer. Associated clinical symptoms, histological types, regional node stage (n stage), occult metastasis, neck dissection by level, recurrence, irradiation. Methods. We carried out a retrospective analysis 43 patient’s pathological metastatic from parodied cancer, who underwent dissection. treated years 2010-2020, we analyzed following parameters: age, sex, pT-Status, tumour size, skin invasion, facial nerve palsy, fixation, extraparotid extension, localization, grade, histology, Distribution T classification was: T3 (60%), and T4 (40%). Results: Mean patient age was 52 years, most common location Nodes Met. level II (72%), then III (49%) I (42%), IV (40%) V (19%). The incidence highest among patients with (27.9%) mucoepidermoid carcinoma common, followed (14.6%) ex-pleomorphic adenoma (9.3%) acinic cell (7%) squamous carcinoma, (11.6%) adenoid cystic (7.0%) adenocarcinoma, (7.4%) salivary duct When classified 35% low/intermediate-grade versus 65.0% high-grade ., Pre-operative fine needle aspiration (83.7%) patients, Post-surgical irradiation performed all (100%). resection status (R) Negative margins R0. (93%), lymphovascular space invasion (44.2%) (25.6%) had perineural invasion. Skin (14%) (4.7%) nodal recurrence pN1, vs (93%) pN2. Pathologically 4 (range: 1–8 Nodes) harvest 29(range, 23–41 nodes)., Conclusion: modified Radical Neck Dissection additional radiotherapy should be patients. parotied cancer especially High stage, advanced operative edge, fixed mass extra extension facial-nerve paralysis tumor pain partied