Lateralization of Squamous Cell Carcinomas in the Head-Neck Region

Left-right asymmetry in neck lymph nodes distribution in patients with bilateral laryngeal cancer

OBJECTIVE

We aimed to examine left-right asymmetry in involved and total neck lymph nodes distribution in patients with bilateral laryngeal cancer in the present study.

METHODS

Forty-six patients with bilateral laryngeal cancer was included the study. The oncologic database of our otorhinolaryngology department was used. The right and left lymph node with and without involvement by cancer cells counts were retrieved from pathological reports.

RESULTS

The numbers of both involved and total neck lymph nodes were significantly higher on right side than on left side for all neck levels in laryngeal malignancies.

CONCLUSIONS

The results of the present study suggest the existence of a left-right asymmetry in neck lymph node distribution and in the neck lymph node distribution involved by laryngeal cancer cells. The stronger cell-mediated immune activity in the left side of humans may be associated with the blocking of the metastatic invasion of cancer cells from laryngeal malignancies in the left body side.

Lateralizations of head-neck cancers are not associated with peripheral asymmetry of cell-mediated immunity

Earlier studies have reported right-sided lateralization for different organ cancers except breast cancer. In the present study, lateralization of head-neck cancers and their relation with the peripheral cell-mediated immune asymmetry was investigated. The sample was comprised of 42 men and 20 women diagnosed with cancer in the head-neck region. The diagnosis of cancer was made histopathologically. To measure the cell-mediated (type IV) immunity of both forearms, the tuberculin test (PPD test) was used in the subjects previously sensitized by BCG vaccine during the first year of age. Significant right-sided lateralization in men and the significant left-sided lateralization in women were observed in this study. There was no relation between the lateralization of cancer and the asymmetry of tuberculin reaction or the peripheral cell-mediated immune asymmetry.