The role of supraomohyoid neck dissection in patients of oral cavity carcinoma

被引：23
作者：
Hao, SP
Tsang, NM
机构：
[1] Chang Gung Mem Hosp, Dept Otolaryngol, Tao Yuan 333, Taiwan
[2] Chang Gung Univ, Tao Yuan 333, Taiwan
[3] Chang Gung Mem Hosp, Dept Radiat Oncol, Tao Yuan 333, Taiwan
来源：
ORAL ONCOLOGY | 2002年 / 38卷 / 03期
关键词：
oral cavity; squamous cell carcinoma; radiation therapy; supraomohyoid neck dissection; regional control;
D O I：
10.1016/S1368-8375(01)00061-6
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
The aim of this study was to evaluate the role of supraomohyoid neck dissection (SOHND) in oral carcinoma patients with clinically negative neck nodes. From July 1993 to June 1998, 140 patients with oral carcinomas and clinically negative lymph nodes in the neck underwent elective SOHND in Chang Gung Memorial Hospital, Taiwan. Thirty-seven patients had postoperative radiotherapy. Thirty-four (24.3%) patients had occult cervical metastases. The overall regional control rates were 93.4% vs. 85.3% for pathologically negative vs. positive nodes, respectively, with or without adjuvant radiotherapy. Adjuvant radiotherapy significantly improved ipsilateral regional control (P = 0.012) in patients with occult cervical metastases but not in patients with negative neck disease. (P = 1.0) SOHND is both a diagnostic and therapeutic procedure in patients with negative neck disease. Its therapeutic role in patients with positive neck disease remains controversial. Postoperative radiotherapy significantly improve ipsilateral neck control in patients with occult cervical metastasis. (C) 2002 Elsevier Science Ltd. All rights reserved.
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收藏
页码：309 / 312
页数：4
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