Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200009 |
Resumo: | CONTEXT AND OBJECTIVE: Modified radical neck dissection (MRND) is the classical treatment for neck metastases of squamous cell carcinoma (SCC) of the upper aerodigestive tract. However, it may still be accompanied by significant sequelae. One alternative for this treatment would be selective neck dissection (SND), which has a lower incidence of sequelae. The aim of this study was to define which neck metastasis cases would really be suitable candidates for SND. DESIGN AND SETTING: Retrospective clinical-surgical trial at the Division of Head and Neck Surgery, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP). METHODS: We retrospectively studied 67 patients with SCC of the upper aerodigestive tract, divided into two groups: 1) 47 patients treated by means of SND (node-negative or node-positive), 2) 20 patients treated by means of MRND (all node-positive). RESULTS: Our results demonstrated that there was no difference between the patients treated with SND or MRND in relation to disease evolution, and that the main prognostic factor was lymph node involvement. We observed that patients with pharyngeal SCC and older patients presented worse evolution and would probably not be suitable candidates for SND. CONCLUSIONS: SND may be a good option for treating node-positive necks in selected cases. |
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Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tractNeck dissectionHead and neck neoplasmsCarcinoma, squamous cellPrognosisLymphatic metastasisCONTEXT AND OBJECTIVE: Modified radical neck dissection (MRND) is the classical treatment for neck metastases of squamous cell carcinoma (SCC) of the upper aerodigestive tract. However, it may still be accompanied by significant sequelae. One alternative for this treatment would be selective neck dissection (SND), which has a lower incidence of sequelae. The aim of this study was to define which neck metastasis cases would really be suitable candidates for SND. DESIGN AND SETTING: Retrospective clinical-surgical trial at the Division of Head and Neck Surgery, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP). METHODS: We retrospectively studied 67 patients with SCC of the upper aerodigestive tract, divided into two groups: 1) 47 patients treated by means of SND (node-negative or node-positive), 2) 20 patients treated by means of MRND (all node-positive). RESULTS: Our results demonstrated that there was no difference between the patients treated with SND or MRND in relation to disease evolution, and that the main prognostic factor was lymph node involvement. We observed that patients with pharyngeal SCC and older patients presented worse evolution and would probably not be suitable candidates for SND. CONCLUSIONS: SND may be a good option for treating node-positive necks in selected cases.Associação Paulista de Medicina - APM2008-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200009Sao Paulo Medical Journal v.126 n.2 2008reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31802008000200009info:eu-repo/semantics/openAccessAntonio,Jamile KarinaMenezes,Marcelo BeneditoKavabata,Norberto KodiBertelli,Antonio Augusto TupinambáKikuchi,WilliamGonçalves,Antonio Joséeng2008-06-09T00:00:00Zoai:scielo:S1516-31802008000200009Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-06-09T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
title |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
spellingShingle |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract Antonio,Jamile Karina Neck dissection Head and neck neoplasms Carcinoma, squamous cell Prognosis Lymphatic metastasis |
title_short |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
title_full |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
title_fullStr |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
title_full_unstemmed |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
title_sort |
Selective neck dissection for treating node-positive necks in cases of squamous cell carcinoma of the upper aerodigestive tract |
author |
Antonio,Jamile Karina |
author_facet |
Antonio,Jamile Karina Menezes,Marcelo Benedito Kavabata,Norberto Kodi Bertelli,Antonio Augusto Tupinambá Kikuchi,William Gonçalves,Antonio José |
author_role |
author |
author2 |
Menezes,Marcelo Benedito Kavabata,Norberto Kodi Bertelli,Antonio Augusto Tupinambá Kikuchi,William Gonçalves,Antonio José |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Antonio,Jamile Karina Menezes,Marcelo Benedito Kavabata,Norberto Kodi Bertelli,Antonio Augusto Tupinambá Kikuchi,William Gonçalves,Antonio José |
dc.subject.por.fl_str_mv |
Neck dissection Head and neck neoplasms Carcinoma, squamous cell Prognosis Lymphatic metastasis |
topic |
Neck dissection Head and neck neoplasms Carcinoma, squamous cell Prognosis Lymphatic metastasis |
description |
CONTEXT AND OBJECTIVE: Modified radical neck dissection (MRND) is the classical treatment for neck metastases of squamous cell carcinoma (SCC) of the upper aerodigestive tract. However, it may still be accompanied by significant sequelae. One alternative for this treatment would be selective neck dissection (SND), which has a lower incidence of sequelae. The aim of this study was to define which neck metastasis cases would really be suitable candidates for SND. DESIGN AND SETTING: Retrospective clinical-surgical trial at the Division of Head and Neck Surgery, Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP). METHODS: We retrospectively studied 67 patients with SCC of the upper aerodigestive tract, divided into two groups: 1) 47 patients treated by means of SND (node-negative or node-positive), 2) 20 patients treated by means of MRND (all node-positive). RESULTS: Our results demonstrated that there was no difference between the patients treated with SND or MRND in relation to disease evolution, and that the main prognostic factor was lymph node involvement. We observed that patients with pharyngeal SCC and older patients presented worse evolution and would probably not be suitable candidates for SND. CONCLUSIONS: SND may be a good option for treating node-positive necks in selected cases. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802008000200009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31802008000200009 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.126 n.2 2008 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209262123352064 |