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Article: Clinicopathological analysis of elective neck dissection for no neck of early oral tongue carcinoma

TitleClinicopathological analysis of elective neck dissection for no neck of early oral tongue carcinoma
Authors
Issue Date1999
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg
Citation
American Journal Of Surgery, 1999, v. 177 n. 1, p. 90-92 How to Cite?
AbstractBACKGROUND: The study aims at evaluation of the efficacy of elective neck dissection as a staging and therapeutic procedure for NO neck of early carcinoma of the oral tongue by whole organ serial sectioning. METHODS: There were 50 stage I and II patients. The neck dissection specimens were whole organ sectioned in 3-mm intervals for the evaluation of nodal metastasis. RESULTS: There were 18 (36%) patients with subclinical nodal metastasis. The total number of metastatic nodes were 31 (1%) among all 2,826 nodes being examined. The metastatic foci had a median size of 3 mm and occupied a median of 6% of the cross Sectional area of the involved nodes. The ipsilateral level II nodes were the commonest (26%) site of metastasis. Metastatic nodes were present in 34% patients who had negative preoperative radiological assessment and in 20% patients who had negative intraoperative frozen section sampling of neck nodes. Patients with subclinical nodal metastasis had a high incidence of regional recurrence (62%) and low survival (27%) when postoperative radiotherapy was not given after elective neck dissection. CONCLUSIONS: Ipsilateral level I,II,III neck dissection is an adequate diagnostic procedure for staging of the NO neck of early oral tongue carcinoma. Its diagnostic role cannot be replaced by the available pre- operative radiological screening and intra-operative frozen section sampling. However, elective selective neck dissection is an effective but not adequate therapeutic procedure, and post-operative adjuvant radiotherapy and chemotherapy have to be considered for all pathologically positive necks.
Persistent Identifierhttp://hdl.handle.net/10722/172844
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYuen, APWen_US
dc.contributor.authorLam, KYen_US
dc.contributor.authorChan, ACLen_US
dc.contributor.authorWei, WIen_US
dc.contributor.authorLam, LKen_US
dc.contributor.authorHo, WKen_US
dc.contributor.authorHo, CMen_US
dc.date.accessioned2012-10-30T06:25:16Z-
dc.date.available2012-10-30T06:25:16Z-
dc.date.issued1999en_US
dc.identifier.citationAmerican Journal Of Surgery, 1999, v. 177 n. 1, p. 90-92en_US
dc.identifier.issn0002-9610en_US
dc.identifier.urihttp://hdl.handle.net/10722/172844-
dc.description.abstractBACKGROUND: The study aims at evaluation of the efficacy of elective neck dissection as a staging and therapeutic procedure for NO neck of early carcinoma of the oral tongue by whole organ serial sectioning. METHODS: There were 50 stage I and II patients. The neck dissection specimens were whole organ sectioned in 3-mm intervals for the evaluation of nodal metastasis. RESULTS: There were 18 (36%) patients with subclinical nodal metastasis. The total number of metastatic nodes were 31 (1%) among all 2,826 nodes being examined. The metastatic foci had a median size of 3 mm and occupied a median of 6% of the cross Sectional area of the involved nodes. The ipsilateral level II nodes were the commonest (26%) site of metastasis. Metastatic nodes were present in 34% patients who had negative preoperative radiological assessment and in 20% patients who had negative intraoperative frozen section sampling of neck nodes. Patients with subclinical nodal metastasis had a high incidence of regional recurrence (62%) and low survival (27%) when postoperative radiotherapy was not given after elective neck dissection. CONCLUSIONS: Ipsilateral level I,II,III neck dissection is an adequate diagnostic procedure for staging of the NO neck of early oral tongue carcinoma. Its diagnostic role cannot be replaced by the available pre- operative radiological screening and intra-operative frozen section sampling. However, elective selective neck dissection is an effective but not adequate therapeutic procedure, and post-operative adjuvant radiotherapy and chemotherapy have to be considered for all pathologically positive necks.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurgen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.rightsThe American Journal of Surgery. Copyright © Elsevier Inc.-
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCarcinoma, Squamous Cell - Pathology - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLymph Nodes - Pathologyen_US
dc.subject.meshLymphatic Metastasisen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeck Dissectionen_US
dc.subject.meshNeoplasm Stagingen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSurgical Procedures, Electiveen_US
dc.subject.meshTongue Neoplasms - Pathology - Surgeryen_US
dc.titleClinicopathological analysis of elective neck dissection for no neck of early oral tongue 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.doi10.1016/S0002-9610(98)00294-3en_US
dc.identifier.pmid10037317-
dc.identifier.scopuseid_2-s2.0-0344766118en_US
dc.identifier.hkuros39740-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0344766118&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume177en_US
dc.identifier.issue1en_US
dc.identifier.spage90en_US
dc.identifier.epage92en_US
dc.identifier.isiWOS:000078554100020-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridYuen, APW=7006290111en_US
dc.identifier.scopusauthoridLam, KY=7403657165en_US
dc.identifier.scopusauthoridChan, ACL=16047349300en_US
dc.identifier.scopusauthoridWei, WI=7403321552en_US
dc.identifier.scopusauthoridLam, LK=24311548400en_US
dc.identifier.scopusauthoridHo, WK=7402968844en_US
dc.identifier.scopusauthoridHo, CM=7404652540en_US

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