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Article: Prospective randomized study of selective neck dissection versus observation for no neck of early tongue carcinoma

TitleProspective randomized study of selective neck dissection versus observation for no neck of early tongue carcinoma
Authors
KeywordsCarcinoma
Dissection
Neck
Randomized
Tongue
Issue Date2009
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, 2009, v. 31 n. 6, p. 765-772 How to Cite?
AbstractBackground. There are controversies on the bene-fits of elective neck dissection (END) for oral tongue carcinoma. Method. This is a prospective randomized study of elective selective I, II, III neck dissection versus observation for N0 neck of stage I to II oral tongue carcinoma. There were 35 patients on the observation arm and 36 patients on the END arm. The main outcome assessment parameters are node-related mortality and disease-specific survival rate. Results. There were 11 patients in the observed arm and 2 patients in the END arm who developed nodal recurrence alone without associated local or distant recurrence. All 13 patients were salvaged, and no patient died of nodal recurrence. The 5-year disease-specific survival rate was 87% for the observation arm and was 89% for the END arm; the 2% difference was not significant. Conclusion. Observation may be an acceptable alternative to END if strict adherence to a cancer surveillance protocol is followed. © 2009 Wiley Periodicals, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/172987
ISSN
2014 Impact Factor: 2.641
2014 SCImago Journal Rankings: 1.124
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYuen, APWen_HK
dc.contributor.authorChiu, MHen_HK
dc.contributor.authorTam, LCen_HK
dc.contributor.authorLap, CTen_HK
dc.contributor.authorWing, YCen_HK
dc.contributor.authorNg, RWMen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorChi, KKen_HK
dc.contributor.authorKwok, SBen_HK
dc.contributor.authorWai, CYen_HK
dc.contributor.authorLam, AKYen_HK
dc.contributor.authorYuen, NWFen_HK
dc.contributor.authorTrendellSmith, NJen_HK
dc.contributor.authorYue, WCen_HK
dc.contributor.authorWong, BYHen_HK
dc.contributor.authorLi, GKHen_HK
dc.contributor.authorHo, ACWen_HK
dc.contributor.authorWai, KHen_HK
dc.contributor.authorSau, YWen_HK
dc.contributor.authorYao, TJen_HK
dc.date.accessioned2012-10-30T06:26:14Z-
dc.date.available2012-10-30T06:26:14Z-
dc.date.issued2009en_HK
dc.identifier.citationHead And Neck, 2009, v. 31 n. 6, p. 765-772en_HK
dc.identifier.issn1043-3074en_HK
dc.identifier.urihttp://hdl.handle.net/10722/172987-
dc.description.abstractBackground. There are controversies on the bene-fits of elective neck dissection (END) for oral tongue carcinoma. Method. This is a prospective randomized study of elective selective I, II, III neck dissection versus observation for N0 neck of stage I to II oral tongue carcinoma. There were 35 patients on the observation arm and 36 patients on the END arm. The main outcome assessment parameters are node-related mortality and disease-specific survival rate. Results. There were 11 patients in the observed arm and 2 patients in the END arm who developed nodal recurrence alone without associated local or distant recurrence. All 13 patients were salvaged, and no patient died of nodal recurrence. The 5-year disease-specific survival rate was 87% for the observation arm and was 89% for the END arm; the 2% difference was not significant. Conclusion. Observation may be an acceptable alternative to END if strict adherence to a cancer surveillance protocol is followed. © 2009 Wiley Periodicals, Inc.en_HK
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_HK
dc.relation.ispartofHead and Necken_HK
dc.subjectCarcinomaen_HK
dc.subjectDissectionen_HK
dc.subjectNecken_HK
dc.subjectRandomizeden_HK
dc.subjectTongueen_HK
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshCarcinoma, Squamous Cell - Mortality - Pathology - Surgery - Therapyen_US
dc.subject.meshChi-Square Distributionen_US
dc.subject.meshDisease-Free Survivalen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshKaplan-Meier Estimateen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshMonitoring, Physiologic - Methodsen_US
dc.subject.meshNeck Dissection - Methodsen_US
dc.subject.meshNeoplasm Recurrence, Local - Mortality - Pathologyen_US
dc.subject.meshNeoplasm Stagingen_US
dc.subject.meshObservation - Methodsen_US
dc.subject.meshPatient Selectionen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshReference Valuesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSurvival Analysisen_US
dc.subject.meshTongue Neoplasms - Mortality - Pathology - Surgery - Therapyen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleProspective randomized study of selective neck dissection versus observation for no neck of early tongue carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.emailYao, TJ: tjyao@hkucc.hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.identifier.authorityYao, TJ=rp00284en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/hed.21033en_HK
dc.identifier.pmid19408291-
dc.identifier.scopuseid_2-s2.0-67049100822en_HK
dc.identifier.hkuros159860-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-67049100822&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume31en_HK
dc.identifier.issue6en_HK
dc.identifier.spage765en_HK
dc.identifier.epage772en_HK
dc.identifier.isiWOS:000266541300008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.f10001159795-
dc.identifier.scopusauthoridYuen, APW=7006290111en_HK
dc.identifier.scopusauthoridChiu, MH=24775262100en_HK
dc.identifier.scopusauthoridTam, LC=35277784400en_HK
dc.identifier.scopusauthoridLap, CT=55301724400en_HK
dc.identifier.scopusauthoridWing, YC=24777735400en_HK
dc.identifier.scopusauthoridNg, RWM=7102153861en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridChi, KK=35277159700en_HK
dc.identifier.scopusauthoridKwok, SB=35277262000en_HK
dc.identifier.scopusauthoridWai, CY=35277483700en_HK
dc.identifier.scopusauthoridLam, AKY=7403657165en_HK
dc.identifier.scopusauthoridYuen, NWF=7003697342en_HK
dc.identifier.scopusauthoridTrendellSmith, NJ=6602816986en_HK
dc.identifier.scopusauthoridYue, WC=35277794300en_HK
dc.identifier.scopusauthoridWong, BYH=7402023295en_HK
dc.identifier.scopusauthoridLi, GKH=15034790200en_HK
dc.identifier.scopusauthoridHo, ACW=16202695800en_HK
dc.identifier.scopusauthoridWai, KH=6604070073en_HK
dc.identifier.scopusauthoridSau, YW=35277666800en_HK
dc.identifier.scopusauthoridYao, TJ=7401886444en_HK

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