Neck dissection: Past, present, future Journal Article
| Authors: | Patel, K. N.; Shah, J. P. |
| Article Title: | Neck dissection: Past, present, future |
| Abstract: | The philosophy of management of metastatic disease in the neck has changed considerably over the past few decades. With better understanding of the patterns of lymph node metastases, leading to subclassification of levels and understanding the importance of prognostic factors such as ECS and perineural invasion, we have been able to preserve uninvolved lymphatic and nonlymphatic structures. The RND, which has been the standard of care for management of neck metastasis, has essentially been replaced by MRND and SND. The improved quality of life and functional outcomes have helped guide this evolution. More extensive surgery does not necessarily equate to a better oncologic outcome, and less can often mean more [1]. Special techniques such as ultrasound, ultrasound-guided needle biopsy, and sentinel node biopsy have the potential to further refine our surgical expertise to eradicate the cancer, preserve function and cosmesis, and maintain excellent oncologic outcomes. © 2005 Elsevier Inc. All rights reserved. |
| Keywords: | cancer survival; cancer surgery; surgical technique; review; neck dissection; cancer staging; lymphatic metastasis; neoplasm staging; metastasis; evolution; histology; history, 20th century; head and neck cancer; head and neck neoplasms; lymph node; history, 19th century; outcomes research; anatomy; cancer classification; cervical lymph node; mouth neoplasms; mouth cancer |
| Journal Title: | Surgical Oncology Clinics of North America |
| Volume: | 14 |
| Issue: | 3 |
| ISSN: | 1055-3207 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2005-07-01 |
| Start Page: | 461 |
| End Page: | 477 |
| Language: | English |
| DOI: | 10.1016/j.soc.2005.04.003 |
| PUBMED: | 15978424 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 7" - "Export Date: 24 October 2012" - "CODEN: SOCAF" - "Source: Scopus" |
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