PMID: 8956739Dec 1, 1996Paper

Analysis of prognostic factors for recurrence after neck dissection

Archives of Otolaryngology--head & Neck Surgery
L Barzan, R Talamini

Abstract

To analyze retrospectively several characteristics to verify the existence of further prognostic factors besides those already known for recurrence after neck dissection. From 1976 to 1993, 1 surgeon performed 1097 neck dissections as single surgical events in 705 patients. Radical neck dissection was performed only in the presence of fixed nodes and functional neck dissection in cases with mobile nodes or without detectable nodes (N0). Functional neck dissection was performed on laryngeal or hypopharyngeal N0 tumors without the dissection of the first level. External beam radiotherapy (RT) was performed based on the following conditions: microscopically positive margins of tumor, more than 2 positive nodes without capsular rupture (pN+R-), or capsular rupture (pN+R+). Division of Otolaryngology, General Hospital of Pordenone, northeastern Italy. Nodal recurrences were observed in 38 patients (5.4%). Patient sex and age, histological grading and staging of primary tumor, second tumors, number of nodes, type of neck staging, surgeon's experience, type of dissection, alterations to the dissection, number of pN+R-, and postoperative RT were not significantly related to the recurrence. The clinical staging of nodes at greater than ...Continue Reading

Citations

Feb 28, 2008·Head & Neck·Martin C JäckelWolfgang Steiner
Dec 14, 2011·Head & Neck·Primož StrojanCarl E Silver
Aug 20, 2009·Head & Neck·Tseng-Cheng ChenCheng-Ping Wang
Feb 11, 2000·American Journal of Otolaryngology·K T Pitman
Apr 14, 2000·Clinical Otolaryngology and Allied Sciences·J GreenmanN D Stafford
May 23, 2002·The Annals of Otology, Rhinology, and Laryngology·Yusufhan SuogluTayfun Sunay
Apr 27, 2012·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Sang-Hyuk LeeChan-Hee Park
Sep 3, 2013·Asian Pacific Journal of Cancer Prevention : APJCP·Xiao-Ming LiZhan-Guo He

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