The role of selective neck dissection in pathological N1 squamous cell carcinomas of the head and neck.

Autor:	Yıldırım T; Department of Otolaryngology, Medicine Faculty of Uludağ University, Bursa, Turkey., Ozmen OA, Erişen L, Kasapoğlu F, Coşkun H, Basut O, Onart S, Hızalan I
Jazyk:	angličtina
Zdroj:	Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat [Kulak Burun Bogaz Ihtis Derg] 2011 Mar-Apr; Vol. 21 (2), pp. 63-9.
DOI:	10.5606/kbbihtisas.2011.001
Abstrakt:	Objectives: This study aims to evaluate the effectiveness of selective neck dissection (SND) in stage pN1 head and neck cancers. Patients and Methods: Patients who underwent neck dissection due to squamous cell carcinoma of oral cavity, larynx, oro-hypopharynx were evaluated retrospectively. Sixty-one patients diagnosed with pathological N1 by neck dissection were included in the study. Thirty-four of the 61 necks, to which SND was applied, comprised the study group, and 27 necks, which underwent comprehensive neck dissection (CND), comprised the control group. Results: Neck recurrence rates were 4.9% for all cases, 5.9% for the SND group and 3.7% for the CND group. Two- and five-year disease-specific survival rates were similar for SND group (78.6%, 72.5%) and CND group (90.5%, 82.9%). Two- and five-year overall survival rates were also similar for SND group (67.6%, 58%) and CND group (81.5%, 66%). None of them were significantly different between groups (p>0.05). Conclusion: Selective neck dissection provides comparable results to CND in the treatment of pN1 necks.
Databáze:	MEDLINE
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