| Autor: |
J, Davidson, Y, Khan, R, Gilbert, B D, Birt, J, Balogh, R, MacKenzie |
| Rok vydání: |
1997 |
| Předmět: |
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| Zdroj: |
The Journal of otolaryngology. 26(4) |
| ISSN: |
0381-6605 |
| Popis: |
The purpose of this study was to evaluate the therapeutic role of selective neck dissection performed electively in the N0 patient.Fifty-four patients with squamous cell carcinoma of the oral cavity, pharynx, and larynx, without clinical evidence of lymph node metastases, underwent 72 selective neck dissections over a 6-year period. The preoperative tumour and patient data were recorded in all patients. Mean follow-up was 59 months. Outcome data pertaining to pathologic nodal status, tumour recurrence, and survival were recorded on all patients.Eighty-one percent of patients were histologically and clinically node negative. Seven percent of N0/Np0 patients failed in the neck compared to 50% of patients with occult nodal metastases (N0/Np+). Salvage treatment following nodal recurrence was successful in only one patient.Selective neck dissection does not compromise survival and may minimize surgical morbidity in the N0/Np+ population. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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