Salvage surgery of cervical recurrences after neck dissection or radiotherapy.

Autor: Grandi C; Division of Head and Neck Surgical Oncology, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy., Mingardo M, Guzzo M, Licitra L, Podrecca S, Molinari R
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 1993 Jul-Aug; Vol. 15 (4), pp. 292-5.
DOI: 10.1002/hed.2880150404
Abstrakt: A series of 113 patients operated on in the period 1980-1989 for a neck recurrence from a head and neck cancer was studied. All patients had no other evidence of disease. The male/female ratio was 93/20, and the median age was 58 years (range 28-87). Previous treatment consisted of surgery (SG) +/- radiotherapy (RT) in 81 patients (SG group) and only RT in 32 (RT group): 59 cases presented a relapse in the treated neck and 54 in the contralateral side. All but one contralateral recurrences were in the SG group. Ten patients were lost to follow-up. The observed 5-year survival rate of the whole series was 29.2% (95% confidence interval, 0%-38%). Considering patients with ipsilateral recurrences, the 5-year disease-free survival rate was 38.7% (95% c.i., 28.7%-48.7%) and 27% (95% c.i., 18%-36%) for the SG and the RT group, respectively. The 5-year disease-free survival rate after SG for contralateral recurrences was 38.8% (95% c.i., 23.8%-53.8%). Dimension and mobility of the neck nodes were the only demonstrable prognostic factors.
Databáze: MEDLINE