Oral Cancer Treatment: Still an Indication for Elective Neck Dissection?
ORL J Otorhinolaryngol Relat Spec
; 80(2): 96-102, 2018.
Article
em En
| MEDLINE
| ID: mdl-29975962
ABSTRACT
INTRODUCTION:
Oral squamous cell carcinoma has a high incidence and, although elective neck dissection is recommended, the removed nodes frequently present without metastasis. This surgical approach causes disabilities and increases possible surgical complications.OBJECTIVE:
To evaluate the possibility of a watchful waiting approach in oral cancer.METHODS:
We compared 78 patients with clinical and pathological node metastases and their counterparts with pathological node metastases but without evident clinical neck disease. Therefore, we provided a theoretical comparison between the patients who had an elective neck dissection and those who waited until a clinically positive node was evident.RESULTS:
The prognostic factor rates were similar between the groups. Their regional recurrence and mortality rates had no statistical differences.CONCLUSION:
A watchful waiting policy could be applied to selected oral cancer patients who can undergo a very close follow-up. This option would be more cost-effective and less harmful than elective neck dissection.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Esvaziamento Cervical
/
Neoplasias Bucais
/
Carcinoma de Células Escamosas
/
Conduta Expectante
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
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Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article