{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:08:10Z","timestamp":1790287690749,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2006,7,18]],"date-time":"2006-07-18T00:00:00Z","timestamp":1153180800000},"content-version":"vor","delay-in-days":4581,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Axillary metastases from squamous cell carcinomas of the head and neck are usually considered signs of incurability. A case is presented in which the patient developed well\u2010differentiated squamous cell carcinoma in bilateral axillary nodes following total laryngectomy and radical neck dissection for advanced recurrent squamous cell carcinoma of the larynx. Bilateral axillary dissection was performed on this patient followed by a second neck dissection for metastasis. The patient remained well for 25 years free of disease, dying of a massive heart attack. One report of this phenomenon has been found in the literature. The authors conclude that radical axillary dissection should be considered in selective cases of well\u2010differentiated carcinoma in axillary nodes from a controlled primary in the head and neck mucosa when no other signs of dissemination have been found. A brief review of cervical and axillary lymphatic anatomy is included. \u00a9 1994 John Wiley &amp; Sons, Inc.<\/jats:p>","DOI":"10.1002\/hed.2880160117","type":"journal-article","created":{"date-parts":[[2007,2,21]],"date-time":"2007-02-21T22:10:09Z","timestamp":1172095809000},"page":"83-87","source":"Crossref","is-referenced-by-count":8,"title":["Axillary metastases from carcinoma of the larynx: A 25\u2010year survival"],"prefix":"10.1002","volume":"16","author":[{"given":"William R.","family":"Nelson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Sisk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,7,18]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"603","article-title":"The incidence and sites of distant metastases in head & neck carcinoma","volume":"116","author":"Gowen GF","year":"1963","journal-title":"SG & O"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(196207\/08)15:4<741::AID-CNCR2820150408>3.0.CO;2-8"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197401)33:1<127::AID-CNCR2820330119>3.0.CO;2-L"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197707)40:1<145::AID-CNCR2820400124>3.0.CO;2-9"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197102)27:2<304::AID-CNCR2820270209>3.0.CO;2-1"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196108000-00007"},{"key":"e_1_2_1_8_2","first-page":"441","article-title":"Distant metastases from head and neck cancer","volume":"87","author":"Rubenfeld S","year":"1962","journal-title":"AJR"},{"key":"e_1_2_1_9_2","first-page":"827","article-title":"The incidence of distant metastases among patients dying with head and neck cancer","volume":"30","author":"Peltier LF","year":"1951","journal-title":"Surgery"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.102.1.132"},{"key":"e_1_2_1_11_2","first-page":"155","article-title":"Carcinoma of the jaws, tongue, cheek and lips","volume":"36","author":"Crile GW","year":"1923","journal-title":"SG & O"},{"key":"e_1_2_1_12_2","first-page":"73","article-title":"Metastatic spread of cancer of the larynx into axillary lymph nodes","volume":"1","author":"Ezhov VG","year":"1979","journal-title":"Zh\u2010Ushn\u2010Nos\u2010Gorl\u2010Bolezn"},{"key":"e_1_2_1_13_2","volume-title":"Anatomie des Lymphatiques de l'Homme","author":"Rouviere H","year":"1932"},{"key":"e_1_2_1_14_2","volume-title":"Gray's Anatomy","author":"Goss CM","year":"1973"},{"key":"e_1_2_1_15_2","volume-title":"Anatomie, Physiologie, Pathologie des Vaisseaux Lymphatiques Consideres chez l'Homme et les Vertebres","author":"Sappey MPC","year":"1885"},{"key":"e_1_2_1_16_2","first-page":"208","volume-title":"The lymphatics in cancer","author":"Haagensen CD","year":"1972"},{"key":"e_1_2_1_17_2","first-page":"330","article-title":"Zum Verstandnis der Verbreitungsmoglichkeitn des Zungenkrebses","volume":"31","author":"Bartels P","year":"1907","journal-title":"Anat Anz"},{"key":"e_1_2_1_18_2","volume-title":"Lymphography of the cervical lymphatic system","author":"Fisch U","year":"1968"},{"key":"e_1_2_1_19_2","volume-title":"Lymphography\u2010clinical and experimental","author":"Gooneratne BWM","year":"1974"}],"container-title":["Head &amp; Neck"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fhed.2880160117","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hed.2880160117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T18:10:19Z","timestamp":1698171019000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hed.2880160117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1994,1]]}},"alternative-id":["10.1002\/hed.2880160117"],"URL":"https:\/\/doi.org\/10.1002\/hed.2880160117","archive":["Portico"],"relation":{},"ISSN":["1043-3074","1097-0347"],"issn-type":[{"value":"1043-3074","type":"print"},{"value":"1097-0347","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,1]]}}}