Predicting Occult Lymph Node Metastasis in Parotid Cancer

Robert A. Frankenthaler, Robert M. Byers, Mario A. Luna, David L. Callender, Pat Wolf, Helmuth Goepfert

Research output: Contribution to journalArticlepeer-review

91 Scopus citations


To determine the factors predictive of occult cervical metastases, we retrospectively reviewed the charts of 99 previously untreated patients with a primary parotid malignancy who underwent elective neck dissection between 1960 and 1985. Univariate and multivariate analyses were performed to determine the predictive value of 11 factors. The univariate study found facial nerve paralysis, extraparotid extension, and perilymphatic invasion statistically significant. In the multivariate analysis of preoperative factors, facial nerve paralysis was most predictive of occult disease. If the variable pool was expanded to include a fine-needle biopsy, tumor grade became the most important preoperative variable. When the analysis was further expanded to include a parotidectomy, the most influential factors were patient age, perilymphatic invasion, and extraparotid tumor extension. This report identifies the variables predictive of occult neck disease in parotid cancer. (Arch Otolaryngol Head Neck Surg. 1993;119:517-520).

Original languageEnglish (US)
Pages (from-to)517-520
Number of pages4
JournalArchives of Otolaryngology--Head and Neck Surgery
Issue number5
StatePublished - May 1993
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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