J G Buckley1, T Feber. 1. Department of Otolaryngology-Head and Neck Surgery, Leeds General Infirmary, Leeds LS1 3EX, UK. jgrahambuckley@compuserve.com
Abstract
BACKGROUND: This review article examines the role of the different types of neck dissection in the treatment of squamous carcinoma metastases to the cervical nodes. METHODS: A critical evaluation of the literature on the pathologic basis, oncologic effectiveness, and functional outcome of neck dissection. RESULTS: Pathologic data show preferential metastasis to different lymph node levels, in N0- and N+-staged disease, depending on the primary tumor site. Comparative studies on control of regional metastases suggest that modified radical is no less effective than radical neck dissection, but there is insufficient data to draw firm conclusions on the role of selective neck dissection. Selective and modified radical dissections result in less shoulder disability than radical neck dissection. CONCLUSIONS: Modified radical neck dissection is supported by pathologic and clinical evidence in N1- and 2-staged disease. There may be a role for selective dissection, but there is a need for more information on oncologic outcome. Prospective multicenter systematic data collection on the outcome of neck dissection is a pragmatic alternative to a trial. Copyright 2001 John Wiley & Sons, Inc. Head Neck 23: 907-915, 2001.
BACKGROUND: This review article examines the role of the different types of neck dissection in the treatment of squamous carcinoma metastases to the cervical nodes. METHODS: A critical evaluation of the literature on the pathologic basis, oncologic effectiveness, and functional outcome of neck dissection. RESULTS: Pathologic data show preferential metastasis to different lymph node levels, in N0- and N+-staged disease, depending on the primary tumor site. Comparative studies on control of regional metastases suggest that modified radical is no less effective than radical neck dissection, but there is insufficient data to draw firm conclusions on the role of selective neck dissection. Selective and modified radical dissections result in less shoulder disability than radical neck dissection. CONCLUSIONS: Modified radical neck dissection is supported by pathologic and clinical evidence in N1- and 2-staged disease. There may be a role for selective dissection, but there is a need for more information on oncologic outcome. Prospective multicenter systematic data collection on the outcome of neck dissection is a pragmatic alternative to a trial. Copyright 2001 John Wiley & Sons, Inc. Head Neck 23: 907-915, 2001.
Authors: James A Keir; Olivia J H Whiteside; Stuart C Winter; Sushir Maitra; Rogan C Corbridge; Graham J Cox Journal: Ann R Coll Surg Engl Date: 2007-10 Impact factor: 1.891
Authors: Miguel Martínez Carrillo; Isabel Tovar Martín; Ildefonso Martínez Lara; José Mariano Ruiz de Almodóvar Rivera; Rosario Del Moral Ávila Journal: Radiat Oncol Date: 2013-04-28 Impact factor: 3.481