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Article: Occult lymph node metastasis in small oral tongue cancers

TitleOccult lymph node metastasis in small oral tongue cancers
Authors
Issue Date1992
PublisherJohn Wiley & Sons, Inc.. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/38137
Citation
Head And Neck, 1992, v. 14 n. 5, p. 359-363 How to Cite?
AbstractThe need to treat the neck in patients with a small primary cancer in the tongue remains controversial. Twenty-eight patients with stage I or II oral tongue squamous carcinomas were retrospectively reviewed. They had not received previous treatment. The tongue primary was excised via the transoral route and the neck was observed closely during follow-up. Thirteen patients developed ipsilateral nodal metastases during follow-up, three of whom also had simultaneous recurrence at the primary site. An additional patient had recurrence at the primary site alone. The incidence of occult neck metastasis was 42% (10 of 24). No tumor-related death occurred in the group without nodal metastasis. The salvage rate after appearance of nodal metastasis was 30%. In oral tongue cancers, elective neck treatment should be considered regardless of a small primary and negative neck examination because of the high incidence of occult nodal metastasis and the poor outcome after salvage treatment.
Persistent Identifierhttp://hdl.handle.net/10722/172676
ISSN
2014 SCImago Journal Rankings: 0.123
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, CMen_US
dc.contributor.authorLam, KHen_US
dc.contributor.authorWei, WIen_US
dc.contributor.authorLau, SKen_US
dc.contributor.authorLam, LKen_US
dc.date.accessioned2012-10-30T06:24:12Z-
dc.date.available2012-10-30T06:24:12Z-
dc.date.issued1992en_US
dc.identifier.citationHead And Neck, 1992, v. 14 n. 5, p. 359-363en_US
dc.identifier.issn0148-6403en_US
dc.identifier.urihttp://hdl.handle.net/10722/172676-
dc.description.abstractThe need to treat the neck in patients with a small primary cancer in the tongue remains controversial. Twenty-eight patients with stage I or II oral tongue squamous carcinomas were retrospectively reviewed. They had not received previous treatment. The tongue primary was excised via the transoral route and the neck was observed closely during follow-up. Thirteen patients developed ipsilateral nodal metastases during follow-up, three of whom also had simultaneous recurrence at the primary site. An additional patient had recurrence at the primary site alone. The incidence of occult neck metastasis was 42% (10 of 24). No tumor-related death occurred in the group without nodal metastasis. The salvage rate after appearance of nodal metastasis was 30%. In oral tongue cancers, elective neck treatment should be considered regardless of a small primary and negative neck examination because of the high incidence of occult nodal metastasis and the poor outcome after salvage treatment.en_US
dc.languageengen_US
dc.publisherJohn Wiley & Sons, Inc.. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/38137en_US
dc.relation.ispartofHead and Necken_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshCarcinoma, Squamous Cell - Mortality - Pathology - Secondary - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshLymphatic Metastasis - Pathologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeck - Surgeryen_US
dc.subject.meshNeck Dissectionen_US
dc.subject.meshNeoplasm Recurrence, Local - Epidemiologyen_US
dc.subject.meshNeoplasm Stagingen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTongue Neoplasms - Mortality - Pathology - Surgeryen_US
dc.titleOccult lymph node metastasis in small oral tongue cancersen_US
dc.typeArticleen_US
dc.identifier.emailWei, WI: hrmswwi@hku.hken_US
dc.identifier.authorityWei, WI=rp00323en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/hed.2880140504-
dc.identifier.pmid1399568-
dc.identifier.scopuseid_2-s2.0-0026774259en_US
dc.identifier.volume14en_US
dc.identifier.issue5en_US
dc.identifier.spage359en_US
dc.identifier.epage363en_US
dc.identifier.isiWOS:A1992JH96000003-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridHo, CM=7404652540en_US
dc.identifier.scopusauthoridLam, KH=7403657342en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US
dc.identifier.scopusauthoridLau, SK=25932968400en_US
dc.identifier.scopusauthoridLam, LK=7201984637en_US

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