Selective Neck Dissection for Clinically Node-Positive Oral Cavity Squamous Cell Carcinoma
Yonsei Medical Journal
;
: 139-144, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-66230
ABSTRACT
PURPOSE:
The treatment of a clinically node-positive (cN+) neck is important in the management of oral cavity squamous cell carcinoma (OSCC). However, the extent of neck dissection (ND) remains controversial. The purpose of our study was to evaluate whether level IV or V can be excluded in therapeutic ND for cN+ OSCC patients. MATERIALS ANDMETHODS:
We performed a retrospective chart review of 92 patients who underwent a comprehensive or selective ND as a therapeutic treatment of cN+ OSCC from January 1993 to February 2009.RESULTS:
The incidence rate of metastasis to level IV or V was 22% (16 of 72) on the ipsilateral neck. Of 67 cases without clinically suspicious nodes at level IV or V, 11 cases (16%, 11 of 67) had pathologically proven lymphatic metastasis to level IV or V. Only a nodal staging above N2b was significantly relevant with the higher rate of level IV or V lymph node metastasis (p=0.025). In this series, selective ND, combined with proper adjuvant therapy, achieved regional control and survival rates comparable to comprehensive ND in patients under the N stage of cN2a OSCC.CONCLUSION:
In conclusion, level IV and V patients can avoid recurrence under cN2a OSCC.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esvaziamento Cervical
/
Neoplasias Bucais
/
Carcinoma de Células Escamosas
/
Estudos Retrospectivos
/
Resultado do Tratamento
/
Radioterapia Adjuvante
/
Intervalo Livre de Doença
/
Quimiorradioterapia
/
Metástase Linfática
/
Pescoço
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Yonsei Medical Journal
Ano de publicação:
2013
Tipo de documento:
Artigo
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