SURGICAL THERAPY OF THE NECK METASTASIS TUMORS

Our experience with the neck metastasis tumors are reported in a retrospectivestudy comprising the period from January, 1990, to January, 2000. Out of the overallnumber of the sick (211) the primary tumor was located in the ORL region is 90% ofthe cases while most of them were in the larynx, 10% in the hematopoietic systemorgans and the infraclavicular region; the percentage of the undetected primary tumorwas 5,21. Regarding the results of the study, men were more liable to metastasistumors of the neck meaning they were 9 times more sick than women. The mostfrequent patients were persons between 50 and 60 years of age; the dominant localspreading of the tumor was upon the T2 and T3 types; the most frequent regionalspreading was upon the N2 type. Distant metastases were discovered in 11 patients; 9of them were in the lungs while 2 in the liver. In the pathohistological sense, the mostfrequent was planocellular carcinoma while the emergence of other malign tumorswas sporadic. The treatment was comprehensive; it was, first of ali, surgical combinedwith the radio and chemo therapies. The best results were achieved in treatingthose metastasis tumors where the primary one was localized in the larynx while thepoorest ones were achieved when dealing with the tongue and the mouth cavity.