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Article: Elective neck dissection versus observation in the treatment of early oral tongue carcinoma

TitleElective neck dissection versus observation in the treatment of early oral tongue carcinoma
Authors
KeywordsCancer recurrence
Glossectomy
Squamous cell carcinoma
Tongue
Issue Date1997
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, 1997, v. 19 n. 7, p. 583-588 How to Cite?
AbstractBackground. The aim of the present review is to evaluate the results of elective neck dissection and 'watchful waiting' in the surgical treatment of stages I and II squamous cell carcinoma of oral tongue. Methods. This is a retrospective study of patients with surgical treatment between January 1980 and December 1994. Results. There were 63 patients including those with 34 T1 and 29 T2 carcinoma. The first sites of tumor recurrence were 5 (8%) local, 17 (27%) regional, 2 (3%) distant, 1 (2%) locoregional, and 1 (2%) both regional and distant. Of the 30 N0 neck patients who had no elective neck dissection, the regional recurrence rate was 47%, and eventually 23% died of tumor related to regional recurrence. Elective neck dissection significantly reduced the regional recurrence rate to 9% and also significantly reduced the regional recurrence related mortality to 3%. Elective neck dissection also increased the 5-year disease-free actuarial survival rate to 86% compared with 55% for 'watchful waiting'. Conclusions. Regional recurrence was the most common cause of failure after surgical treatment of oral tongue carcinoma. Elective neck dissection significantly reduced mortality due to regional recurrence and also increased the overall survival. There was no significant difference between elective radical neck dissection and selective I, II, and III neck dissection in the improvement of treatment results. This retrospective study suggests that elective selective I, II, III neck dissection is a treatment strategy of choice for stages I and II carcinoma of the oral tongue. A prospective randomized study is worthwhile to further evaluate the benefit of elective neck dissection in the treatment of early carcinoma of the tongue.
Persistent Identifierhttp://hdl.handle.net/10722/84448
ISSN
2015 Impact Factor: 2.76
2015 SCImago Journal Rankings: 1.233
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYuen, APWen_HK
dc.contributor.authorWei, WIen_HK
dc.contributor.authorWong, YMen_HK
dc.contributor.authorTang, KCen_HK
dc.date.accessioned2010-09-06T08:53:05Z-
dc.date.available2010-09-06T08:53:05Z-
dc.date.issued1997en_HK
dc.identifier.citationHead And Neck, 1997, v. 19 n. 7, p. 583-588en_HK
dc.identifier.issn1043-3074en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84448-
dc.description.abstractBackground. The aim of the present review is to evaluate the results of elective neck dissection and 'watchful waiting' in the surgical treatment of stages I and II squamous cell carcinoma of oral tongue. Methods. This is a retrospective study of patients with surgical treatment between January 1980 and December 1994. Results. There were 63 patients including those with 34 T1 and 29 T2 carcinoma. The first sites of tumor recurrence were 5 (8%) local, 17 (27%) regional, 2 (3%) distant, 1 (2%) locoregional, and 1 (2%) both regional and distant. Of the 30 N0 neck patients who had no elective neck dissection, the regional recurrence rate was 47%, and eventually 23% died of tumor related to regional recurrence. Elective neck dissection significantly reduced the regional recurrence rate to 9% and also significantly reduced the regional recurrence related mortality to 3%. Elective neck dissection also increased the 5-year disease-free actuarial survival rate to 86% compared with 55% for 'watchful waiting'. Conclusions. Regional recurrence was the most common cause of failure after surgical treatment of oral tongue carcinoma. Elective neck dissection significantly reduced mortality due to regional recurrence and also increased the overall survival. There was no significant difference between elective radical neck dissection and selective I, II, and III neck dissection in the improvement of treatment results. This retrospective study suggests that elective selective I, II, III neck dissection is a treatment strategy of choice for stages I and II carcinoma of the oral tongue. A prospective randomized study is worthwhile to further evaluate the benefit of elective neck dissection in the treatment of early carcinoma of the tongue.en_HK
dc.languageengen_HK
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.subjectCancer recurrenceen_HK
dc.subjectGlossectomyen_HK
dc.subjectSquamous cell carcinomaen_HK
dc.subjectTongueen_HK
dc.titleElective neck dissection versus observation in the treatment of early oral tongue carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0017-8748&volume=19&spage=583&epage=588&date=1997&atitle=Elective+neck+dissection+versus+observation+in+the+treatment+of+early+oral+tongue+carcinomaen_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/(SICI)1097-0347(199710)19:7<583::AID-HED4>3.0.CO;2-3en_HK
dc.identifier.pmid9323146-
dc.identifier.scopuseid_2-s2.0-0030886467en_HK
dc.identifier.hkuros28743en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030886467&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue7en_HK
dc.identifier.spage583en_HK
dc.identifier.epage588en_HK
dc.identifier.isiWOS:A1997XX85100004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridYuen, APW=7006290111en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK
dc.identifier.scopusauthoridWong, YM=7403041530en_HK
dc.identifier.scopusauthoridTang, KC=36742146800en_HK

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