Results of selective neck dissection in management of the node-positive neck Journal Article
| Authors: | Andersen, P. E.; Warren, F.; Spiro, J.; Burningham, A.; Wong, R.; Wax, M. K.; Shah, J. P.; Cohen, J. I. |
| Article Title: | Results of selective neck dissection in management of the node-positive neck |
| Abstract: | Background: Although increasingly accepted in treatment of the NO neck, use of selective neck dissection in patients with node-positive squamous cell carcinoma of the head and neck remains controversial. Objective: To determine the oncologic efficacy of selective node dissection in patients with node-positive squamous carcinoma of the head and neck. Setting: Three tertiary care academic/Veterans Affairs medical centers. Methods: Ten-year retrospective medical chart review of 106 previously untreated clinically and pathologically node-positive patients undergoing 129 selective neck dissections and followed for a minimum of 2 years or until patient death. Results: Regional metastasis was clinically staged as N1 in 58 patients (54.7%), N2a in 5 (4.7%), N2b in 28 (26.4%), N2c in 14 (13.2%), and N3 in 1 (0.9%). Extracapsular extension of tumor was present in 36 patients (34.0%), and postoperative radiation therapy was administered to 76 patients (71.7%). Overall, 9 patients experienced disease recurrence in the neck. Six of these recurrences were in the side of the neck that had undergone selective neck dissection, for a regional control rate of 94.3%. Conclusions: These results support the use of selective neck dissection in carefully selected patients with clinically node-positive squamous cell carcinoma of the head and neck region. Regional control rates comparable to those achieved with comprehensive operations can be achieved in appropriately selected patients. |
| Keywords: | adult; aged; aged, 80 and over; middle aged; cancer surgery; survival rate; retrospective studies; major clinical study; cancer recurrence; neck dissection; squamous cell carcinoma; carcinoma, squamous cell; cancer radiotherapy; postoperative care; cancer staging; follow-up studies; lymph node metastasis; lymphatic metastasis; neoplasm staging; lymph node excision; neoplasm recurrence, local; retrospective study; time factors; outcome assessment (health care); head and neck cancer; head and neck neoplasms; medical record; cancer control; head and neck carcinoma; humans; human; male; female; article |
| Journal Title: | Archives of Otolaryngology - Head & Neck Surgery |
| Volume: | 128 |
| Issue: | 10 |
| ISSN: | 0886-4470 |
| Publisher: | American Medical Association |
| Date Published: | 2002-10-01 |
| Start Page: | 1180 |
| End Page: | 1184 |
| Language: | English |
| PUBMED: | 12365890 |
| PROVIDER: | scopus |
| DOI: | 10.1001/archotol.128.10.1180 |
| DOI/URL: | |
| Notes: | Export Date: 14 November 2014 -- Source: Scopus |
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