Outcome of selective neck dissection for cervical lymph node recurrence or residual lymph node metastasis of oesophageal cancer.

Autor: Kishimoto, Yo, Kawai, Yoshitaka, Fujimura, Shintaro, Komurasaki, Ayana, Sakanaka, Katsuyuki, Tsunoda, Shigeru, Mizowaki, Takashi, Obama, Kazutaka, Muto, Manabu, Omori, Koichi
Předmět:
Zdroj: Clinical Otolaryngology; Jan2024, Vol. 49 Issue 1, p152-157, 6p
Abstrakt: This article discusses the outcomes of salvage neck dissection for recurrent or residual cervical lymph nodes in patients with esophageal cancer. The study found that neck dissection was performed safely in all cases, and metastatic lymph nodes were identified in the central compartment in the majority of cases. The most common perioperative complication was vocal fold paralysis, which occurred most often in cases with central compartment dissection. The study also compared the oncological outcomes of surgery versus chemoradiotherapy and found that surgery had better rates of overall survival, progression-free survival, and locoregional control. The presence of extra nodal extension or multiple metastatic lymph nodes did not significantly impact progression-free survival. The study concludes that salvage neck dissection is an important therapeutic option for recurrent or residual lesions, especially after surgery. [Extracted from the article]
Databáze: Complementary Index