Abstract
The aim of this study was to define the role of elective neck dissection in patients with a second N0 head and neck squamous cell carcinoma (HNSCC). We carried out a retrospective study in 74 patients with a second N0 HNSCC treated with an elective neck dissection. Thirteen patients (17.6 %) had occult neck node metastases. The risk of occult neck nodes was low for patients with a second glottic tumor (0 %), and for patients with non-glottic T1-T2 tumors who had received previous radiotherapy in the neck (5.3 %). Patients with non-glottic locally advanced tumors (T3-T4) and non-glottic T1-T2 tumors who had not received previous radiotherapy in the neck had a risk of occult neck nodes of 28.1 and 33.3 %, respectively. Elective neck dissection could be omitted in patients with glottic tumors and in patients with an early tumor (T1-T2) who had received previous radiotherapy in the neck. © 2013 Springer-Verlag Berlin Heidelberg.
Original language | English |
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Pages (from-to) | 1187-1190 |
Journal | European Archives of Oto-Rhino-Laryngology |
Volume | 271 |
Issue number | 5 |
DOIs | |
Publication status | Published - 1 Jan 2014 |
Keywords
- Elective neck dissection
- Head and neck squamous cell carcinoma
- Occult neck node metastases
- Second tumors