[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.87.3. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 17, 1972

Management of Neck Node Metastases

JAMA. 1972;220(3):402-405. doi:10.1001/jama.1972.03200030060017

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

In planning the therapy of nasopharyngeal cancer, one must pay particular attention to the real and potential lymph node metastases, since as many as 90% of the patients may have clinically positive nodes on presentation for treatment. The nasopharynx has an extensive lymphatic capillary plexus, and it is quite common for a patient to present with neck nodes, and with the nasopharynx primary either very tiny, or not seen at all.

The neck node metastases are every bit as curable by irradiation as the primary lesion if the technique and dosages are utilized as outlined below. In fact, failure to control neck node metastases is rarely the only cause of failure in our nasopharyngeal experience.

Neck Node Spread  Although the afferent lymphatics usually drain into the nodes on the same side as the lesion, there are abundant anastamoses across the midline; even small, well-lateralized lesions may present with contralateral metastases.

×