Planned postradiotherapy bilateral neck dissection for head and neck cancer
| Autor: | Robert J. Amdur, Joshua D. Somerset, Douglas B. Villaret, Scott P. Stringer, William M. Mendenhall |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Radiation Dosage Disease-Free Survival medicine Humans Head and neck Lymph node Neoplasm Staging Probability Retrospective Studies business.industry Head and neck cancer Neck dissection medicine.disease Combined Modality Therapy Surgery Radiation therapy Survival Rate Dissection medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Epidermoid carcinoma Head and Neck Neoplasms Surgical Procedures Operative Multivariate Analysis Carcinoma Squamous Cell Female Radiotherapy Adjuvant Complication business Follow-Up Studies |
| Zdroj: | American journal of otolaryngology. 22(6) |
| ISSN: | 0196-0709 |
| Popis: | Purpose: This is a retrospective analysis of 50 patients with squamous cell carcinoma of the head and neck treated with radiotherapy (RT) to the primary site and bilateral neck followed by a planned bilateral neck dissection approximately 4 to 6 weeks after completion of RT. Patients and Methods: Between November 1964 and March 1997, 50 patients underwent bilateral neck dissections after RT, with minimum 2-year follow-up. Forty-eight patients had bilateral positive neck nodes. Results: At 5 years, the rates of neck disease control, local-regional control, and cause-specific survival were 76%, 70%, and 39%, respectively. Five severe complications developed after surgery, and 1 developed after RT. Conclusions: Radiotherapy followed by a planned bilateral neck dissection resulted in a high rate of local-regional control with acceptable morbidity. The likelihood of severe complications after simultaneous (as opposed to staged) neck dissection was not significantly different ( P = .24). (Am J Otolaryngol 2001;22:383-386. Copyright © 2001 by W.B. Saunders Company) |
| Databáze: | OpenAIRE |
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