Elective treatment of the neck for second primary tumors of the head and neck

Xavier León; Gabriel Pedemonte; Jacinto García; Montserrat López; María Martel; Miquel Quer

doi:10.1007/s00405-013-2623-9

Elective treatment of the neck for second primary tumors of the head and neck

Xavier León, Gabriel Pedemonte, Jacinto García, Montserrat López, María Martel, Miquel Quer

Department of Surgery

Research output: Contribution to journal › Article › Research › peer-review

4 Citations (Scopus)

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
Pages (from-to)	1187-1190
Journal	European Archives of Oto-Rhino-Laryngology
Volume	271
Issue number	5
DOIs	https://doi.org/10.1007/s00405-013-2623-9
Publication status	Published - 1 Jan 2014

Keywords

Elective neck dissection
Head and neck squamous cell carcinoma
Occult neck node metastases
Second tumors

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title = "Elective treatment of the neck for second primary tumors of the head and neck",

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. {\textcopyright} 2013 Springer-Verlag Berlin Heidelberg.",

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T1 - Elective treatment of the neck for second primary tumors of the head and neck

AU - León, Xavier

AU - Pedemonte, Gabriel

AU - García, Jacinto

AU - López, Montserrat

AU - Martel, María

AU - Quer, Miquel

PY - 2014/1/1

Y1 - 2014/1/1

N2 - 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.

AB - 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.

KW - Elective neck dissection

KW - Head and neck squamous cell carcinoma

KW - Occult neck node metastases

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JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

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