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Is elective neck dissection indicated during salvage surgery for head and neck squamous cell carcinoma? / Álvaro Enrique Sanabria Quiroga
Título : Is elective neck dissection indicated during salvage surgery for head and neck squamous cell carcinoma? Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2014 Títulos uniformes : European Archives of Oto-rhino-laryngology Idioma : Inglés (eng) Palabras clave : Head and neck squamous cell carcinoma neck dissection chemoradiotherapy surgery salvage Resumen : Among patients with head and neck squamous cell carcinoma with a negative neck who are initially treated with (chemo)radiotherapy, a number of cases will recur locally without obvious neck recurrence. There is little information available as to the most efficacious management of the neck in these cases. We have reviewed the literature to see what conclusions can be drawn from previous reports. We conducted a bibliography search on MEDLINE and EMBASE databases. Studies published in the English language and those on squamous cell carcinoma of the oral cavity, nasopharynx, oropharynx, larynx and hypopharynx were included. Data related to neck management were extracted from the articles. Twelve studies satisfied the inclusion criteria. Five studies reported only one treatment plan (either neck dissection or observation), while the others compared neck dissection to observation. The rate of occult metastases ranged from 3.4 to 12 %. The studies included a variable distribution of primary sites and stages of the recurrent primary tumors. The risk of occult neck node metastasis in a clinically rN0 patient correlated with tumor site and T stage. Observation of the neck can be suggested for patients with T1-2 glottic tumors, who recurred with less advanced tumors (rT1-2). For patients with more advanced laryngeal recurrences or recurrence at other high-risk sites, neck dissection could be considered for the rN0 patient, particularly if the neck was not included in the previous radiation fields. Mención de responsabilidad : Alvaro Sanabria, Carl E Silver, Kerry D Olsen, Jesus E Medina, Marc Hamoir, Vinidh Paleri, Vanni Mondin, Alessandra Rinaldo, Juan P Rodrigo, Carlos Suárez, Carsten C Boedeker, Michael L Hinni, Luiz P Kowalski, Afshin Teymoortash, Jochen A Werner, Robert P Takes, Alfio Ferlito Referencia : Eur Arch Otorhinolaryngol. 2014 Dec;271(12):3111-9. DOI (Digital Object Identifier) : 10.1007/s00405-014-2893-x PMID : 24515917 En línea : https://link.springer.com/article/10.1007%2Fs00405-014-2893-x Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3775 Is elective neck dissection indicated during salvage surgery for head and neck squamous cell carcinoma? [documento electrónico] / Álvaro Enrique Sanabria Quiroga, . - 2014.
Obra : European Archives of Oto-rhino-laryngology
Idioma : Inglés (eng)
Palabras clave : Head and neck squamous cell carcinoma neck dissection chemoradiotherapy surgery salvage Resumen : Among patients with head and neck squamous cell carcinoma with a negative neck who are initially treated with (chemo)radiotherapy, a number of cases will recur locally without obvious neck recurrence. There is little information available as to the most efficacious management of the neck in these cases. We have reviewed the literature to see what conclusions can be drawn from previous reports. We conducted a bibliography search on MEDLINE and EMBASE databases. Studies published in the English language and those on squamous cell carcinoma of the oral cavity, nasopharynx, oropharynx, larynx and hypopharynx were included. Data related to neck management were extracted from the articles. Twelve studies satisfied the inclusion criteria. Five studies reported only one treatment plan (either neck dissection or observation), while the others compared neck dissection to observation. The rate of occult metastases ranged from 3.4 to 12 %. The studies included a variable distribution of primary sites and stages of the recurrent primary tumors. The risk of occult neck node metastasis in a clinically rN0 patient correlated with tumor site and T stage. Observation of the neck can be suggested for patients with T1-2 glottic tumors, who recurred with less advanced tumors (rT1-2). For patients with more advanced laryngeal recurrences or recurrence at other high-risk sites, neck dissection could be considered for the rN0 patient, particularly if the neck was not included in the previous radiation fields. Mención de responsabilidad : Alvaro Sanabria, Carl E Silver, Kerry D Olsen, Jesus E Medina, Marc Hamoir, Vinidh Paleri, Vanni Mondin, Alessandra Rinaldo, Juan P Rodrigo, Carlos Suárez, Carsten C Boedeker, Michael L Hinni, Luiz P Kowalski, Afshin Teymoortash, Jochen A Werner, Robert P Takes, Alfio Ferlito Referencia : Eur Arch Otorhinolaryngol. 2014 Dec;271(12):3111-9. DOI (Digital Object Identifier) : 10.1007/s00405-014-2893-x PMID : 24515917 En línea : https://link.springer.com/article/10.1007%2Fs00405-014-2893-x Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3775 Reserva
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