Elective treatment of the neck for second primary tumors of the head and neck

被引：0
作者：
Xavier León
Gabriel Pedemonte
Jacinto García
Montserrat López
María Martel
Miquel Quer
机构：
[1] Hospital de la Santa Creu i Sant Pau (Universitat Autònoma de Barcelona),Otorhinolaryngology Department
[2] Biomedical Research Institute Sant Pau and Centro de Investigación Biomédica en Red en Bioingenieria,undefined
[3] Biomateriales y Nanomedicina (CIBER-BBN,undefined
[4] ISCIII),undefined
来源：
European Archives of Oto-Rhino-Laryngology | 2014年 / 271卷
关键词：
Second tumors; Elective neck dissection; Occult neck node metastases; Head and neck squamous cell carcinoma;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The aim of this study was to define the role of elective neck dissection in patients with a second N0 head and neck squamous cell carcinoma (HNSCC). We carried out a retrospective study in 74 patients with a second N0 HNSCC treated with an elective neck dissection. Thirteen patients (17.6 %) had occult neck node metastases. The risk of occult neck nodes was low for patients with a second glottic tumor (0 %), and for patients with non-glottic T1–T2 tumors who had received previous radiotherapy in the neck (5.3 %). Patients with non-glottic locally advanced tumors (T3–T4) and non-glottic T1–T2 tumors who had not received previous radiotherapy in the neck had a risk of occult neck nodes of 28.1 and 33.3 %, respectively. Elective neck dissection could be omitted in patients with glottic tumors and in patients with an early tumor (T1–T2) who had received previous radiotherapy in the neck.
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页码：1187 / 1190
页数：3
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