Involvement of the Buccinator Node in Facial Malignancy

Robbins, Jeffrey P.; Fitz‐Hugh, G. Slaughter; Constable, William C.

doi:10.1001/archotol.1971.00770070548012

Cited by 14 publications

(2 citation statements)

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“…The role of metastases to FLNs was not elucidated until 1971. Robbins et al collected ten cases of malignancies involving these nodes and presented an illustrative case of the metastatic spread of an epidermoid carcinoma to the buccinator node [7]. To the best of our knowledge, this is the first report that discusses the significance of FLN metastases in head and neck malignancies.…”

Section: Discussionmentioning

confidence: 98%

Facial lymph node involvement as a prognostic factor for patient survival in oral cavity squamous cell carcinoma

et al. 2015

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To investigate the incidence of metastasis to facial lymph nodes (FLNs) and to determine its impact on the prognosis and survival of patients at onset of oral cavity squamous cell carcinoma (OSCC). A retrospective review of 641 patients with OSCC treated with curative surgery (CS) alone or CS + postoperative radiotherapy (PORT) was performed. Based on FLN status, an analysis of clinicopathologic parameters, prognosis, and survival was conducted. By classifying patients according to FLN status, a reasonable treatment modality was identified in the low-risk group, which was defined as those who had N0-1 disease, negative margin, and no extracapsular nodal spread (ENS). FLN involvement was identified in 103 patients (16 %), which showed statistically significant associations with several established risk factors and negatively affected local controls (P < 0.001), neck controls (P < 0.001), and disease-specific survival (P < 0.001). Compared to CS alone, CS + PORT increased the 5-year neck control rate (76.8 vs. 30.7 %, P = 0.006) and disease-specific survival rate (67.8 vs. 30.7 %, P = 0.037) of the OSCC patients with FLN metastasis in the low-risk group. Metastasis to FLNs is strongly associated with poor disease control and lower survival rate of OSCC patients. PORT minimized the residual risk of involved FLN in the low-risk group.

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Section: Discussionmentioning

confidence: 98%

Facial lymph node involvement as a prognostic factor for patient survival in oral cavity squamous cell carcinoma

et al. 2015

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“…BN are embedded in the buccinator space on a line running from the angle of the mouth to the inferior part of the lobule of the ear [11], that is, upstream of the lower gingiva in the lymphatic pathway. Based on normal antegrade lymphatic flow, BN are not usually sentinel lymph nodes from primary lower gingival cancer.…”

Section: Discussionmentioning

confidence: 99%

Metastasis of lower gingival squamous cell carcinoma to buccinator lymph node: case report and review of the literature

et al. 2019

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BackgroundMetastasis of oral cancer to the buccinator lymph nodes (BN) is uncommon. The antegrade lymphatic flow in patients with normal anatomy and physiology makes metastasis of lower gingival cancer to BN unlikely.Case presentationA 67-year-old woman presented with a 46 × 25-mm tumor on her lower gingiva, along with metastatic foci in BN and cervical lymph nodes. After neoadjuvant chemotherapy, she underwent radical resection of the primary tumor and BN, along with neck dissection. Following surgery, she received adjuvant chemoradiotherapy. Two years after treatment, there has been no evidence of tumor recurrence or metastasis.ConclusionThis is the first report of lower gingival squamous cell carcinoma with metastasis to BN. Metastasis to BN from lower gingival cancer is very rare but should be considered in patients with locally advanced tumors or tumors that metastasize to the submandibular node.

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Management of the Mass in the Buccal Space

Walvekar

Myers

Salivary Gland Disorders

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Involvement of the Buccinator Node in Facial Malignancy

Cited by 14 publications

References 1 publication

Facial lymph node involvement as a prognostic factor for patient survival in oral cavity squamous cell carcinoma

Facial lymph node involvement as a prognostic factor for patient survival in oral cavity squamous cell carcinoma

Metastasis of lower gingival squamous cell carcinoma to buccinator lymph node: case report and review of the literature

Management of the Mass in the Buccal Space

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