The role of neck dissection after radical chemoradiation for locally advanced head and neck cancer: should we move back?.
Oncology
; 84(3): 174-85, 2013.
Article
em 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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Esvaziamento Cervical
/
Carcinoma de Células Escamosas
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Neoplasia Residual
/
Quimiorradioterapia
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Neoplasias de Cabeça e Pescoço
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article