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Efficacy of salvage neck dissection for isolated nodal recurrences in early carcinoma of oral tongue with watchful waiting management of initial N0 neck

✍ Scribed by Raymond King Yin Tsang; Joseph Chun Kit Chung; Victor Shing Howe To; Jimmy Yu Wai Chan; Wai Kuen Ho; William Ignace Wei

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 107 KB
Volume: 33
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.21643

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background

Recent studies have shown that salvage treatment may be effective for early tongue carcinoma with nodal failures after watchful waiting policy. We wanted to assess the efficacy of salvage neck dissection.

Methods

We conducted a retrospective review of all patients with pT1 and pT2 oral tongue cancer who underwent partial glossectomy without any neck surgery and determined the survival after salvage neck dissection in this group of patients.

Results

Seventy patients with N0 disease underwent partial glossectomy, 20 patients had development of isolated nodal failures after watchful waiting policy. Apart from the initial T classification, which found to have significant difference in 5‐year disease specific survival rate (100% vs 46%, p = .023); other parameters including age, sex, tumor thickness, adjuvant radiotherapy and rN classification had shown no significance in affecting survival.

Conclusions

📜 SIMILAR VOLUMES

Elective neck dissection for the managem

Elective neck dissection for the management of the N0 neck in early cancer of the oral tongue: Need for a randomized controlled trial

✍ Anil K. D'Cruz; Ravichand C. Siddachari; Rohan R. Walvekar; Gouri H. Pantvaidya; 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 168 KB 👁 1 views

## Abstract ## Background The aim of this study is to determine the need for a randomized controlled trial in order to define the role of an elective neck dissection (END) in the treatment of early tongue cancers. ## Methods We present a large retrospective analysis of patients with T1‐2 N0 squa

Neck recurrence after level I–IV or I–II

Neck recurrence after level I–IV or I–III selective neck dissection in the management of the clinically N0 neck in patients with oral squamous cell carcinoma

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## Abstract ## Background Controversy remains regarding extending the level I–III selective neck dissection (SND) to include level IV in the management of the clinically N0 (cN0) neck in patients with oral squamous cell carcinoma (OSCC). ## Methods Histologic and follow‐up data of 87 patients wi