Elective versus therapeutic neck dissection in early carcinoma of the oral tongue

Fakih, Abdul R.; Rao, Renuka; Borges, Anita M.; Patel, Ashraf

doi:10.1016/0002-9610(89)90122-0

Cited by 337 publications

(236 citation statements)

References 11 publications

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“…In the systematic review, four randomized controlled trials with a total of 283 patients were identified and these were eligible for inclusion into the metaanalyses (Table 1, Figure 3) [46,79,157,169]. Three of these were single-center studies which took place in France [157], India [46], and Brazil [79] respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Three of these were single-center studies which took place in France [157], India [46], and Brazil [79] respectively. The most recently completed study from Yuen et al was performed as a multi-center trial in Hong Kong [169].…”

Section: Resultsmentioning

confidence: 99%

“…It is also still very difficult to separately identify the actual deaths due specifically to neck pathology (nodal recurrences or metastases) from oral cancers. groups [40,46,157,169]. However, there have been few studies which showed a significant survival benefit in favor of elective neck dissection in oral carcinoma patients with clinically N0 neck [36,62,76,94,170].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, there is still an unresolved controversy on its benefits in the eventual regional control and survival compared with the policy of observation [46,157]. The advocators of observation or 'watchful waiting' policy after the removal of the primary tumor have stated that elective neck dissection in clinically N0 necks is just a diagnostic staging procedure rather than a therapeutic operation hence unjustifiable [66].…”

Section: Introductionmentioning

confidence: 99%

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A meta-analysis of the randomized controlled trials on elective neck dissection versus therapeutic neck dissection in oral cavity cancers with clinically node-negative neck

et al. 2011

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A meta-analysis of the randomized controlled trials on elective neck dissection versus therapeutic neck dissection in oral cavity cancers with clinically node-negative neck

et al. 2011

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“…Only three small RCTs have been performed to date [31][32][33] out which one study has shown survival benefit for the elective neck dissection group [33]. But at the same time the salvage rate after neck recurrence has been very poor.…”

Section: Discussionmentioning

confidence: 99%

Cervical node metastasis in T1 squamous cell carcinoma of oral tongue- pattern and the predictive factors

Vishak

Rohan

2014

Indian J Surg Oncol

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Background The squamous cell carcinoma (SCC) of the oral tongue is a common cancer in India. Elective lymphadenectomy is generally performed in all patients with T2-T4 tumors. In this study we have tried to analyze the pattern and risk factors associated with lymph node metastasis in T1 tongue cancers. Methods A retrospective review of the records of 57 patients undergoing surgery for treatment of T1 sqamous cell carcinoma of oral tongue was carried out. The clinicopatological features of the tumor, pattern of nodal metastasis and the risk factors associated with lymph node metastasis were studied. Results Totally 57 patients with T1 tumor underwent excision of the primary and modified neck dissection (MND). Lymph node metastasis was found in 36.8 % of the patients. Level I to Level II was the commonest site of metastasis. Skip metastasis at level III and IV was found in 8.5 % of the patients and isolated skip metastasis at level IV in 1.5 % of the patients. The risk factors associated with the lymph node metastasis on univariete analysis were; higher grade, tumor size >1 cm and tumor thickness >3 mm. On multivariate analysis only the tumor thickness was found to be a risk factor for the lymph node metastasis (hazard ratio of 21.59). Conclusions T1 sqamous cell carcinoma of tongue is associated with a high incidence of lymph node metastasis. Elective neck dissection should be considered in all patients with tumors more than 3 mm in thickness

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Ultrasonography-Guided Fine-Needle Aspiration for the Assessment of Cervical Metastases

Knappe

Louw²,

Gregor³

2000

Arch Otolaryngol Head Neck Surg

131

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Ultrasonography combined with FNA is a highly accurate technique for the investigation of cervical lymph node metastases. A more accurate diagnosis may result in more appropriate treatment, particularly in a setting with limited resources. Retropharyngeal nodes, micrometastases, and lymph nodes smaller than 4 mm are limitations of US-FNA. Ultrasonography combined with FNA is a useful technique for the staging of head and neck cancer.

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Elective versus therapeutic neck dissection in early carcinoma of the oral tongue

Cited by 337 publications

References 11 publications

A meta-analysis of the randomized controlled trials on elective neck dissection versus therapeutic neck dissection in oral cavity cancers with clinically node-negative neck

A meta-analysis of the randomized controlled trials on elective neck dissection versus therapeutic neck dissection in oral cavity cancers with clinically node-negative neck

Cervical node metastasis in T1 squamous cell carcinoma of oral tongue- pattern and the predictive factors

Ultrasonography-Guided Fine-Needle Aspiration for the Assessment of Cervical Metastases

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