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The role of neck dissection after radical chemoradiation for locally advanced head and neck cancer: should we move back?.
Denaro, N; Russi, E G; Numico, G; Pazzaia, T; Vitiello, R; Merlano, M C.
Afiliación
  • Denaro N; Messina University, Messina, Italy. nerinadenaro@gmail.com
Oncology ; 84(3): 174-85, 2013.
Article en En | MEDLINE | ID: mdl-23306430
ABSTRACT
Until a few decades ago neck dissection (ND) was the standard surgical approach for node-positive tumours. Nowadays patients with locally advanced head and neck cancer can be treated with definitive chemoradiation (CRT), which includes the treatment of the neck; however, results on residual viable tumour after conservative treatment are heterogeneous and depend on initial node stage and primary treatment. Many authors accept adjuvant surgery in patients with N2-3 disease. Regardless of the results of upfront CRT, even if there is no evidence of lymph node metastases, when the risk for persistent positive neck nodes exceeds 15-20%, elective ND might be indicated. However, despite the diffusion of innovative technologies and therapies, there are controversies about both response evaluation and surgical management of initially involved neck nodes after definitive CRT and organ preservation treatment. In this paper we will analyse state of art of neck evaluation after CRT and discuss the role of ND.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección del Cuello / Carcinoma de Células Escamosas / Neoplasia Residual / Quimioradioterapia / Neoplasias de Cabeza y Cuello Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Oncology Año: 2013 Tipo del documento: Article País de afiliación: Italia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección del Cuello / Carcinoma de Células Escamosas / Neoplasia Residual / Quimioradioterapia / Neoplasias de Cabeza y Cuello Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: Oncology Año: 2013 Tipo del documento: Article País de afiliación: Italia
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