Radical neck dissection: Is it enough?
| Autor: | Donn C. Young, William B. Farrar, Patrick J. O'Dwyer, Arthur G. James, Daniel P. McCabe, William Finkelmeier |
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| Rok vydání: | 1988 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Neck disease Extranodal Disease medicine Humans Aged Retrospective Studies Adjuvant radiotherapy business.industry Neck dissection General Medicine Middle Aged Prognosis Combined Modality Therapy Surgery Radiation therapy Head and Neck Neoplasms Carcinoma Squamous Cell Neck Dissection Female Lymphadenectomy Neoplasm Recurrence Local business Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 156:173-176 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(88)80058-8 |
| Popis: | This series of 307 patients who underwent radical neck dissection showed an overall recurrence rate of 19 percent. Clinical staging of disease was an accurate predictor of both recurrence and survival. Extranodal disease dramatically increased recurrence and decreased survival. Although our recurrence rate after radical neck dissection was lower than that previously reported for surgery alone, it was still significantly higher than that after adjuvant radiotherapy. We conclude that histologically proved neck disease should be treated by radical neck dissection, followed by adjuvant radiotherapy to decrease recurrence and, it is hoped, improve survival. |
| Databáze: | OpenAIRE |
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