Table 4. Distribution of lymphatic levels affected in patients with known regional metastases.
Category a | Ipsilateral | Contralateral | ||||
---|---|---|---|---|---|---|
I–IV | V | RP | PAR | Any | ||
Histologic type | ||||||
Low risk | 100.0 | 0.0 | 0.0 | 0.0 | 0.0 b | |
Moderate risk | 78.6 | 17.9 | 14.3 | 14.3 | 17.9 b | |
High risk | 89.7 | 13.8 | 10.3 | 13.8 | 55.2 b | |
Location of primary | ||||||
Midline | 94.7 | 10.5 | 10.5 b | 10.5 | 47.4 | |
Ethmoid complex | 81.8 | 0.0 | 18.2 b | 27.3 | 27.3 | |
Maxillary complex | 80.0 | 15.0 | 0.0 b | 10.0 | 20.0 | |
Frontal/sphenoid | 66.7 | 33.3 | 0.0 b | 0.0 | 66.7 | |
Other nasal cavity | 83.3 | 50.0 | 50.0 b | 16.7 | 50.0 | |
Invasion c | ||||||
Skull base | Yes | 90.0 | 16.7 | 20.0 | 13.3 | 53.3 b |
No | 79.3 | 13.8 | 3.4 | 13.8 | 17.2 b | |
Dura | Yes | 90.9 | 13.6 | 18.2 | 13.6 | 54.5 b |
No | 81.1 | 16.2 | 8.1 | 13.5 | 24.3 b | |
Pterygoid space | Yes | 100.0 | 42.9 | 42.9 b | 14.3 | 42.9 |
No | 82.7 | 11.5 | 7.7 b | 13.5 | 34.6 | |
Facial soft tissue | Yes | 33.3 b | 16.7 | 0.0 | 50.0 b | 16.7 |
No | 90.6 b | 15.1 | 13.2 | 9.4 b | 37.7 |
Abbreviations: I–IV, levels I to IV of the lateral neck; V, level V of the lateral neck; Any, any contralateral nodes; PAR, parotid; RP, retropharynx.
Note : Within a certain category, the values in this table represent how often (%) a regional basin was affected in patients who had known regional metastases. Rows do not sum to 100% due to patients having metastases in multiple lymphatic basins.
Categories also included in statistical analysis but not reported in this table due to nonsignificant findings: histologic grade of tumor and T-stage.
p < 0.05 by Fisher's exact test.
Statistical testing for the invasion category is a comparison between those with and without invasion into the applicable structure. Testing was also completed for invasion of the orbit, brain, infratemporal fossa, pterygopalatine fossa, nasopharynx, and palate, and no significant differences were identified.