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

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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 languageEnglish
Pages (from-to)1187-1190
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume271
Issue number5
DOIs
Publication statusPublished - 1 Jan 2014

Keywords

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

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