Disección ganglionar de cuello: conceptos actuales
Palabras clave:
Disección de cuello, carcinoma, células escamosas, neoplasias de cabeza y cuello, Biopsia del ganglio linfático centinelaResumen
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.
Biografía del autor/a
Enrique Cadena, Instituto Nacional de Cancerología
Grupo Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Bogotá D.C., Colombia
Unidad de Otorrinolaringología, Universidad Nacional de Colombia; Bogotá D.C., Colombia
Álvaro Sanabria, Fundación Abood Shaio
Cirugía de Cabeza y Cuello, Fundación Abood Shaio, Bogotá D.C., Colombia
Facultad de Medicina, Universidad de la Sabana, Bogotá D.C., Colombia
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