Extent of neck dissection for patients with clinical N1 oral cancer.

International Journal of Clinical Oncology
Yasumasa KakeiMasaya Akashi

Abstract

No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis. Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I-V neck dissection as the initial treatment. None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II. Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II.

References

Jun 22, 2000·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·A FerlitoV Mondin
Oct 9, 2002·Archives of Otolaryngology--head & Neck Surgery·Peter E AndersenJames I Cohen
Feb 28, 2006·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Fernando L DiasGeraldo M Sa
Jun 21, 2006·Archives of Otolaryngology--head & Neck Surgery·Hiroyuki InoueMasahisa Saikawa
Jun 2, 2015·The New England Journal of Medicine·Anil K D'CruzUNKNOWN Head and Neck Disease Management Group
Sep 2, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Steffen KoerdtMarco R Kesting
Sep 3, 2017·The British Journal of Oral & Maxillofacial Surgery·C SchillingM McGurk
Nov 28, 2017·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Paolo CariatiIldefonso Martinez Lara

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Methods Mentioned

BETA
dissection
dissections
biopsy

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