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

✍ Scribed by Anil K. D'Cruz; Ravichand C. Siddachari; Rohan R. Walvekar; Gouri H. Pantvaidya; Devendra A. Chaukar; Mandar S. Deshpande; Prathamesh S. Pai; Pankaj Chaturvedi

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 168 KB
Volume: 31
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20988

No coin nor oath required. For personal study only.

✦ Synopsis

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 squamous cell cancers of the oral anterior tongue treated at a single institution. A total of 359 eligible patients with early tongue cancers were divided into 2 groups: END and wait and watch (WW). An analysis for survival outcomes and prognostic factors was conducted.

Results

The estimated 3‐ and 5‐year disease‐free survival for the END group was 76% and 74% versus 71% and 68% for the WW group, respectively (p = .53). The 3‐ and 5‐year overall survival (OS) rate for the END group was 69% and 60% versus 62% and 60% for the WW group, respectively (p = .24). Tumor grade and perineural invasion were independent predictors of recurrence.

Conclusion

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