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Selective Neck Dissection for Node-Positive Oral Cavity Squamous Cell Carcinoma: A Retrospective Cohort Study
Hashmi, Syed Salman; Abbas, Akbar; Bukhari, Amna; Saeed, Javeria; Shafqat, Ali; Siddique, Atif Hafeez; Buksh, Ahmed Raheem; Murtaza, Ghulam.
  • Hashmi, Syed Salman; Northwest Anglia NHS Foundation Trust. Peterborough City Hospital. ENT Department. Peterborough. GB
  • Abbas, Akbar; Aga Khan University Hospital. Department of ENT. Karachi. PK
  • Bukhari, Amna; Patel Hospital. Department of ENT and Head and Neck Surgery. Karachi. PK
  • Saeed, Javeria; Aga Khan University Hospital. Department of Orthopedics. Karachi. PK
  • Shafqat, Ali; Patel Hospital. Department of ENT and Head and Neck Surgery. Karachi. PK
  • Siddique, Atif Hafeez; Dow University of Health Sciences. Department of Otolaryngology. Karachi. PK
  • Buksh, Ahmed Raheem; Aga Khan University Hospital. Department of Pathology and Laboratory of Medicine. Karachi. PK
  • Murtaza, Ghulam; Patel Hospital. Department of General Surgery. Karachi. PK
Int. arch. otorhinolaryngol. (Impr.) ; 26(4): 630-635, Oct.-Dec. 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1421669
ABSTRACT
Abstract Introduction Selective neck dissection inclinically node-negative neckisconsidered the standard of care for oral squamous cell carcinomas (SCCs). Controversy still prevailsinnode-positive disease regarding the extent of neck dissection. In our part of the world, comprehensive neck dissection is mostly considered to be the minimal optimal treatment for palpable neck disease. Objective To compare regional control and disease-specific survival between clinically node-positive and node-negative patients undergoing selective neck dissection for oral SCC. Methods This was a retrospective cohort study conducted in the department of ENT, Head and Neck surgery at a tertiary care hospital. All patients with biopsy-proven oral and lip SCC, with or without nodal disease, who underwent selective neck dissection between April 2006 and July 2015 were included in the study. Results During the study period, 111 patients with oral SCC underwent selective neck dissection, of whom 71 (62%) were clinically node-negative and 40 (38%) patients had clinically positive nodes in the neck. The mean follow-up was 16.62 months (standard deviation [SD] 17.03). The overall regional control rates were 95 versus 96% for clinical negative versus positive nodes, respectively (p = 0.589). The disease-specific survival was 84.5% in the node negative group versus 82.5% in the node-positive group (p = 0.703). Conclusion Selective neck dissection in node-positive neck oral SCC has similar regional control rates when compared with node-negative neck SCC. The difference in disease-specific survival between the two groups is also not significant.


Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study Language: English Journal: Int. arch. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2022 Type: Article Affiliation country: Pakistan / United kingdom Institution/Affiliation country: Aga Khan University Hospital/PK / Dow University of Health Sciences/PK / Northwest Anglia NHS Foundation Trust/GB / Patel Hospital/PK

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Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study Language: English Journal: Int. arch. otorhinolaryngol. (Impr.) Journal subject: Otolaryngology Year: 2022 Type: Article Affiliation country: Pakistan / United kingdom Institution/Affiliation country: Aga Khan University Hospital/PK / Dow University of Health Sciences/PK / Northwest Anglia NHS Foundation Trust/GB / Patel Hospital/PK