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Inicio Revista Colombiana de Cancerología Disección ganglionar de cuello: conceptos actuales
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Vol. 15. Núm. 3.
Páginas 145-154 (Enero 2011)
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Vol. 15. Núm. 3.
Páginas 145-154 (Enero 2011)
DOI: 10.1016/S0123-9015(11)70063-4
Acceso a texto completo
Disección ganglionar de cuello: conceptos actuales
Dissection of Neck Nodes: Current Concepts
Visitas
47987
Enrique Cadena1,3,
Autor para correspondencia
enriquecadena@hotmail.com

Correspondencia: calle 91 No.19C-62 Cons. 706. Tel.:éfonos: 218/4373321 - 4697040.
, Álvaro Sanabria2,4
1 Grupo Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Bogotá D.C., Colombia
2 Cirugía de Cabeza y Cuello, Fundación Abood Shaio, Bogotá D.C., Colombia
3 Unidad de Otorrinolaringología, Universidad Nacional de Colombia; Bogotá D.C., Colombia
4 Facultad de Medicina, Universidad de la Sabana, Bogotá D.C., Colombia
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Resumen

Clásicamente se ha descrito que la presencia de metástasis a los ganglios linfáticos del cuello es un factor pronóstico en contra de los pacientes que sufren tumores en esta área del cuerpo. Por tal razón, es importante tener en cuenta durante su evaluación el patrón de drenaje de los sitios anatómicos, al igual que los factores que predisponen a metástasis, para poder definir de forma adecuada el tratamiento del primario, así como el de los relevos ganglionares del cuello. En el presente artículo se describen los niveles del cuello, los patrones de diseminación linfática, los factores de riesgo de metástasis y los tipos de disecciones de cuello, con el fin de aclarar y actualizar conceptos en este tema, para que sea de utilidad en el manejo de pacientes con patología tumoral de cabeza y cuello.

Palabras clave:
Disección de cuello
carcinoma
células escamosas
neoplasias de cabeza y cuello
Biopsia del ganglio linfático centinela
Abstract

Metastasis in the lymphatic ganglia of the neck has classically been deemed an un favorable prognostic factor for patients with tumors in that part of the body. Therefore, in order to adequately define primary treatment it is important that during evaluation drainage pattern in anatomical sites be taken into account, along with factors which predispose metastasis, as well as the ganglionary changes in the neck. In this article descriptions are provided of neck level, lymphatic dissemination patterns, metastatic risk factors, and types of neck dissection in order to clarify and update concepts, thus making them applicable to patients with head and neck tumors.

Key words:
Neck Dissection
Squamous Cell Carcinoma
Head and Neck Neoplasms
Sentinel Lymph Node Biopsy
El Texto completo está disponible en PDF
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Copyright © 2011. Instituto Nacional de Cancerología
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