Olsen K D, DeSanto L W, Pearson B W
Laryngoscope. 1987 Sep;97(9):1033-7. doi: 10.1288/00005537-198709000-00007.
The significance of metastatic cancer in the Delphian lymph node in patients with laryngeal carcinoma has not been thoroughly discussed. Between 1960 and 1985, we identified 20 cases of histologically proven metastasis to the Delphian node. In 12 of these patients with glottic cancer (T1-T3), the neck was clinically negative but a positive Delphian node was discovered at partial or total laryngectomy; in 6 patients, ipsilateral neck metastasis developed. Eleven of the 20 patients have died from their laryngeal cancer. The frequency of neck metastasis or death, or both, from cancer is unusually high in patients with a positive Delphian node.
喉癌患者中Delphian淋巴结转移癌的意义尚未得到充分讨论。1960年至1985年间，我们确定了20例经组织学证实转移至Delphian淋巴结的病例。在这些声门癌（T1-T3）患者中，有12例颈部临床检查为阴性，但在部分或全喉切除术中发现Delphian淋巴结阳性；6例患者出现同侧颈部转移。20例患者中有11例死于喉癌。Delphian淋巴结阳性的患者发生颈部转移或死于癌症，或两者兼有的频率异常高。
