Selective neck dissection and the management of the hypopharyngeal cancer / 临床耳鼻咽喉头颈外科杂志
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
; (24): 241-244, 2012.
Article
在 Zh
| WPRIM
| ID: wpr-749446
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To determine the most appropriate form of selective neck dissection(SND) in the hypopharyngeal cancer with cervical lymph node metastasis.@*METHOD@#We have retrospectively analyzed the distribution and prevalence of cervical metastasis in 26 patients with hypopharyngeal squamous cell carcinoma from January 1998 to December 2008. All the patients underwent SND as part of the primary treatment. There were 34 elective SNDs and 17 therapeutic SNDs from 11 node-negative hypopharyngeal cancers and others node-positive.@*RESULT@#Occult metastasis was found in 6 patients (55%) with cervical metastasis confined to level II and III. Clinical node-positive necks were all pathologically identified with 6.7%, 66.7%, 86.7%, 46.7%, and 20.0% of the prevalence of metastasis to level I, II, III, IV and V respectively. The regional recurrences were found in 4 patients during the follow-up, which were all from cN+ patients. No patient experienced level I recurrence.@*CONCLUSION@#The results of this study suggest that SND (I-III) may be feasible for the treatment of cN0 hypopharyngeal cancer, which needs a larger sample to verify. Meanwhile, from our data, it has a satisfactory result to perform SND (II-V) with adjuvant radiotherapy for the cN+ patients.
全文:
1
索引:
WPRIM
主要主题:
Pathology
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Neck Dissection
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General Surgery
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Carcinoma, Squamous Cell
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Hypopharyngeal Neoplasms
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Retrospective Studies
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Squamous Cell Carcinoma of Head and Neck
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Head and Neck Neoplasms
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Lymphatic Metastasis
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Methods
研究类型:
Observational_studies
限制:
Adult
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Aged
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Aged80
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Humans
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Male
语言:
Zh
期刊:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
年:
2012
类型:
Article