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Article: Critical appraisal of watchful waiting policy in the management of N0 neck of advanced laryngeal carcinoma

TitleCritical appraisal of watchful waiting policy in the management of N0 neck of advanced laryngeal carcinoma
Authors
Issue Date1996
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.com
Citation
Archives Of Otolaryngology - Head And Neck Surgery, 1996, v. 122 n. 7, p. 742-745 How to Cite?
AbstractObjective: To analyze the problem of nodal recurrence of N0 neck advanced laryngeal carcinoma. Design: Retrospective analysis. Setting: Hospital referral center. Patients: One hundred thirty-three patients with cancer stages T3-T4, N0, M0 who had total laryngectomy between January 1981 and December 1990. Main Outcome Measure: Nodal recurrence. Results: Of the 11 patients who had elective radical neck dissections, there was no nodal recurrence. Of the other 122 patients who had no elective neck dissection, 19 patients (16%) developed nodal recurrence and all nodal recurrence was at levels II, III, and IV. Twelve patients (63%) underwent salvage radical neck dissection for nodal recurrence and they had a 38% adjusted 5-year actuarial survival rate. Of these 122 patients who had no elective neck dissection for the N0 neck, 12 patients (10%) eventually died of nodal recurrence. Conclusion: The watchful waiting policy is a satisfactory management option of N0 neck of advanced laryngeal carcinoma.
Persistent Identifierhttp://hdl.handle.net/10722/172722
ISSN
2014 Impact Factor: 2.327
References

 

DC FieldValueLanguage
dc.contributor.authorYuen, APWen_US
dc.contributor.authorWei, WIen_US
dc.contributor.authorWong, SHWen_US
dc.date.accessioned2012-10-30T06:24:29Z-
dc.date.available2012-10-30T06:24:29Z-
dc.date.issued1996en_US
dc.identifier.citationArchives Of Otolaryngology - Head And Neck Surgery, 1996, v. 122 n. 7, p. 742-745en_US
dc.identifier.issn0886-4470en_US
dc.identifier.urihttp://hdl.handle.net/10722/172722-
dc.description.abstractObjective: To analyze the problem of nodal recurrence of N0 neck advanced laryngeal carcinoma. Design: Retrospective analysis. Setting: Hospital referral center. Patients: One hundred thirty-three patients with cancer stages T3-T4, N0, M0 who had total laryngectomy between January 1981 and December 1990. Main Outcome Measure: Nodal recurrence. Results: Of the 11 patients who had elective radical neck dissections, there was no nodal recurrence. Of the other 122 patients who had no elective neck dissection, 19 patients (16%) developed nodal recurrence and all nodal recurrence was at levels II, III, and IV. Twelve patients (63%) underwent salvage radical neck dissection for nodal recurrence and they had a 38% adjusted 5-year actuarial survival rate. Of these 122 patients who had no elective neck dissection for the N0 neck, 12 patients (10%) eventually died of nodal recurrence. Conclusion: The watchful waiting policy is a satisfactory management option of N0 neck of advanced laryngeal carcinoma.en_US
dc.languageengen_US
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archoto.comen_US
dc.relation.ispartofArchives of Otolaryngology - Head and Neck Surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCarcinoma, Squamous Cell - Mortality - Pathology - Therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLaryngeal Neoplasms - Mortality - Pathology - Therapyen_US
dc.subject.meshLaryngectomyen_US
dc.subject.meshLymphatic Metastasisen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNecken_US
dc.subject.meshNeck Dissectionen_US
dc.subject.meshNeoplasm Recurrence, Local - Mortality - Pathology - Therapyen_US
dc.subject.meshNeoplasm Stagingen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshSalvage Therapyen_US
dc.titleCritical appraisal of watchful waiting policy in the management of N0 neck of advanced laryngeal carcinomaen_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.doi10.1001/archotol.1996.01890190038010-
dc.identifier.pmid8663947-
dc.identifier.scopuseid_2-s2.0-0029898827en_US
dc.identifier.hkuros20022-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0029898827&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume122en_US
dc.identifier.issue7en_US
dc.identifier.spage742en_US
dc.identifier.epage745en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridYuen, APW=7006290111en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US
dc.identifier.scopusauthoridWong, SHW=13302920800en_US

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