Delineation of the neck node levels for head and neck tumors: a 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines.
Identifieur interne : 003691 ( PubMed/Checkpoint ); précédent : 003690; suivant : 003692Delineation of the neck node levels for head and neck tumors: a 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines.
Auteurs : Vincent Grégoire [Belgique] ; Kian Ang [États-Unis] ; Wilfried Budach [Allemagne] ; Cai Grau [Danemark] ; Marc Hamoir [Belgique] ; Johannes A. Langendijk [Pays-Bas] ; Anne Lee [République populaire de Chine] ; Quynh-Thu Le [États-Unis] ; Philippe Maingon [France] ; Chris Nutting [Royaume-Uni] ; Brian O'Sullivan [Canada] ; Sandro V. Porceddu [Australie] ; Benoit Lengele [Belgique]Source :
- Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology [ 1879-0887 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Consensus, Cou (anatomie et histologie), Humains, Métastase lymphatique, Noeuds lymphatiques (anatomie et histologie), Noeuds lymphatiques (anatomopathologie), Noeuds lymphatiques (effets des radiations), Radio-oncologie (), Radio-oncologie (normes), Tumeurs de la tête et du cou (anatomopathologie), Tumeurs de la tête et du cou (radiothérapie).
- MESH :
- anatomie et histologie : Cou, Noeuds lymphatiques.
- anatomopathologie : Noeuds lymphatiques, Tumeurs de la tête et du cou.
- effets des radiations : Noeuds lymphatiques.
- normes : Radio-oncologie.
- radiothérapie : Tumeurs de la tête et du cou.
- Adulte, Consensus, Humains, Métastase lymphatique, Radio-oncologie.
English descriptors
- KwdEn :
- Adult, Consensus, Head and Neck Neoplasms (pathology), Head and Neck Neoplasms (radiotherapy), Humans, Lymph Nodes (anatomy & histology), Lymph Nodes (pathology), Lymph Nodes (radiation effects), Lymphatic Metastasis, Neck (anatomy & histology), Radiation Oncology (methods), Radiation Oncology (standards).
- MESH :
- anatomy & histology : Lymph Nodes, Neck.
- methods : Radiation Oncology.
- pathology : Head and Neck Neoplasms, Lymph Nodes.
- radiation effects : Lymph Nodes.
- radiotherapy : Head and Neck Neoplasms.
- standards : Radiation Oncology.
- Adult, Consensus, Humans, Lymphatic Metastasis.
Abstract
In 2003, a panel of experts published a set of consensus guidelines for the delineation of the neck node levels in node negative patients (Radiother Oncol, 69: 227-36, 2003). In 2006, these guidelines were extended to include the characteristics of the node positive and the post-operative neck (Radiother Oncol, 79: 15-20, 2006). These guidelines did not fully address all nodal regions and some of the anatomic descriptions were ambiguous, thereby limiting consistent use of the recommendations. In this framework, a task force comprising opinion leaders in the field of head and neck radiation oncology from European, Asian, Australia/New Zealand and North American clinical research organizations was formed to review and update the previously published guidelines on nodal level delineation. Based on the nomenclature proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery, and in alignment with the TNM atlas for lymph nodes in the neck, 10 node groups (some being divided into several levels) were defined with a concise description of their main anatomic boundaries, the normal structures juxtaposed to these nodes, and the main tumor sites at risk for harboring metastases in those levels. Emphasis was placed on those levels not adequately considered previously (or not addressed at all); these included the lower neck (e.g. supraclavicular nodes), the scalp (e.g. retroauricular and occipital nodes), and the face (e.g. buccal and parotid nodes). Lastly, peculiarities pertaining to the node-positive and the post-operative clinical scenarios were also discussed. In conclusion, implementation of these guidelines in the daily practice of radiation oncology should contribute to the reduction of treatment variations from clinician to clinician and facilitate the conduct of multi-institutional clinical trials.
DOI: 10.1016/j.radonc.2013.10.010
PubMed: 24183870
Affiliations:
- Allemagne, Australie, Belgique, Canada, Danemark, France, Pays-Bas, Royaume-Uni, République populaire de Chine, États-Unis
- Angleterre, Bourgogne, Bourgogne-Franche-Comté, Grand Londres, Groningue (province), Ontario, Région de Bruxelles-Capitale, Texas
- Bruxelles, Dijon, Groningue (ville), Houston, Londres, Louvain-la-Neuve, Toronto
- Université catholique de Louvain, Université de Groningue, Université de Toronto
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pubmed:24183870Le document en format XML
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<author><name sortKey="Langendijk, Johannes A" sort="Langendijk, Johannes A" uniqKey="Langendijk J" first="Johannes A" last="Langendijk">Johannes A. Langendijk</name>
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<author><name sortKey="Lee, Anne" sort="Lee, Anne" uniqKey="Lee A" first="Anne" last="Lee">Anne Lee</name>
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<author><name sortKey="Le, Quynh Thu" sort="Le, Quynh Thu" uniqKey="Le Q" first="Quynh-Thu" last="Le">Quynh-Thu Le</name>
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<author><name sortKey="O Sullivan, Brian" sort="O Sullivan, Brian" uniqKey="O Sullivan B" first="Brian" last="O'Sullivan">Brian O'Sullivan</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Consensus</term>
<term>Head and Neck Neoplasms (pathology)</term>
<term>Head and Neck Neoplasms (radiotherapy)</term>
<term>Humans</term>
<term>Lymph Nodes (anatomy & histology)</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymph Nodes (radiation effects)</term>
<term>Lymphatic Metastasis</term>
<term>Neck (anatomy & histology)</term>
<term>Radiation Oncology (methods)</term>
<term>Radiation Oncology (standards)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Consensus</term>
<term>Cou (anatomie et histologie)</term>
<term>Humains</term>
<term>Métastase lymphatique</term>
<term>Noeuds lymphatiques (anatomie et histologie)</term>
<term>Noeuds lymphatiques (anatomopathologie)</term>
<term>Noeuds lymphatiques (effets des radiations)</term>
<term>Radio-oncologie ()</term>
<term>Radio-oncologie (normes)</term>
<term>Tumeurs de la tête et du cou (anatomopathologie)</term>
<term>Tumeurs de la tête et du cou (radiothérapie)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Cou</term>
<term>Noeuds lymphatiques</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term>
<term>Tumeurs de la tête et du cou</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Lymph Nodes</term>
<term>Neck</term>
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<keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Noeuds lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Radiation Oncology</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Radio-oncologie</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Head and Neck Neoplasms</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Head and Neck Neoplasms</term>
</keywords>
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</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Radiation Oncology</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Consensus</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Consensus</term>
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<term>Métastase lymphatique</term>
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<front><div type="abstract" xml:lang="en">In 2003, a panel of experts published a set of consensus guidelines for the delineation of the neck node levels in node negative patients (Radiother Oncol, 69: 227-36, 2003). In 2006, these guidelines were extended to include the characteristics of the node positive and the post-operative neck (Radiother Oncol, 79: 15-20, 2006). These guidelines did not fully address all nodal regions and some of the anatomic descriptions were ambiguous, thereby limiting consistent use of the recommendations. In this framework, a task force comprising opinion leaders in the field of head and neck radiation oncology from European, Asian, Australia/New Zealand and North American clinical research organizations was formed to review and update the previously published guidelines on nodal level delineation. Based on the nomenclature proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery, and in alignment with the TNM atlas for lymph nodes in the neck, 10 node groups (some being divided into several levels) were defined with a concise description of their main anatomic boundaries, the normal structures juxtaposed to these nodes, and the main tumor sites at risk for harboring metastases in those levels. Emphasis was placed on those levels not adequately considered previously (or not addressed at all); these included the lower neck (e.g. supraclavicular nodes), the scalp (e.g. retroauricular and occipital nodes), and the face (e.g. buccal and parotid nodes). Lastly, peculiarities pertaining to the node-positive and the post-operative clinical scenarios were also discussed. In conclusion, implementation of these guidelines in the daily practice of radiation oncology should contribute to the reduction of treatment variations from clinician to clinician and facilitate the conduct of multi-institutional clinical trials.</div>
</front>
</TEI>
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<DateCreated><Year>2014</Year>
<Month>03</Month>
<Day>18</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>05</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>03</Month>
<Day>18</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-0887</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>110</Volume>
<Issue>1</Issue>
<PubDate><Year>2014</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology</Title>
<ISOAbbreviation>Radiother Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Delineation of the neck node levels for head and neck tumors: a 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines.</ArticleTitle>
<Pagination><MedlinePgn>172-81</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.radonc.2013.10.010</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0167-8140(13)00514-8</ELocationID>
<Abstract><AbstractText>In 2003, a panel of experts published a set of consensus guidelines for the delineation of the neck node levels in node negative patients (Radiother Oncol, 69: 227-36, 2003). In 2006, these guidelines were extended to include the characteristics of the node positive and the post-operative neck (Radiother Oncol, 79: 15-20, 2006). These guidelines did not fully address all nodal regions and some of the anatomic descriptions were ambiguous, thereby limiting consistent use of the recommendations. In this framework, a task force comprising opinion leaders in the field of head and neck radiation oncology from European, Asian, Australia/New Zealand and North American clinical research organizations was formed to review and update the previously published guidelines on nodal level delineation. Based on the nomenclature proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery, and in alignment with the TNM atlas for lymph nodes in the neck, 10 node groups (some being divided into several levels) were defined with a concise description of their main anatomic boundaries, the normal structures juxtaposed to these nodes, and the main tumor sites at risk for harboring metastases in those levels. Emphasis was placed on those levels not adequately considered previously (or not addressed at all); these included the lower neck (e.g. supraclavicular nodes), the scalp (e.g. retroauricular and occipital nodes), and the face (e.g. buccal and parotid nodes). Lastly, peculiarities pertaining to the node-positive and the post-operative clinical scenarios were also discussed. In conclusion, implementation of these guidelines in the daily practice of radiation oncology should contribute to the reduction of treatment variations from clinician to clinician and facilitate the conduct of multi-institutional clinical trials.</AbstractText>
<CopyrightInformation>Copyright © 2014 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Grégoire</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Cancer Center and Department of Radiation Oncology, Clinical and Experimental Research Institute, Université Catholique de Louvain, Cliniques Universitaires St-Luc, Brussels, Belgium. Electronic address: vincent.gregoire@uclouvain.be.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ang</LastName>
<ForeName>Kian</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Budach</LastName>
<ForeName>Wilfried</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, University Hospital Düsseldorf, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Grau</LastName>
<ForeName>Cai</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Oncology, Aarhus University Hospital, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hamoir</LastName>
<ForeName>Marc</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Cancer Center and Department of Otorhinolaryngology, Head and Neck Surgery, Institut de Recherche Experimentale et Clinique, Université Catholique de Louvain, Cliniques Universitaires St-Luc, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Langendijk</LastName>
<ForeName>Johannes A</ForeName>
<Initials>JA</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, University Medical Center Groningen, University of Groningen, The Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lee</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Clinical Oncology, The University of Hong Kong (Shenzhen) Hospital, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Le</LastName>
<ForeName>Quynh-Thu</ForeName>
<Initials>QT</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Stanford University School of Medicine, Stanford Cancer Center, Stanford, USA; Radiation Therapy Oncology Group (RTOG), USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Maingon</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Centre Georges-François Leclerc, Dijon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nutting</LastName>
<ForeName>Chris</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Royal Marsden Hospital and Institute of Cancer Research, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>O'Sullivan</LastName>
<ForeName>Brian</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Princess Margaret Hospital, University of Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Porceddu</LastName>
<ForeName>Sandro V</ForeName>
<Initials>SV</Initials>
<AffiliationInfo><Affiliation>Cancer Services, Princess Alexandra Hospital, Brisbane, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lengele</LastName>
<ForeName>Benoit</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Cancer Center and Department of Human Anatomy and Plastic & Reconstructive Surgery, Institut de Recherche Experimentale et Clinique, Université Catholique de Louvain, Cliniques Universitaires St-Luc, Brussels, Belgium.</Affiliation>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>10</Month>
<Day>31</Day>
</ArticleDate>
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<MedlineJournalInfo><Country>Ireland</Country>
<MedlineTA>Radiother Oncol</MedlineTA>
<NlmUniqueID>8407192</NlmUniqueID>
<ISSNLinking>0167-8140</ISSNLinking>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName>
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<MeshHeading><DescriptorName UI="D006258" MajorTopicYN="N">Head and Neck Neoplasms</DescriptorName>
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<QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName>
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<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
<QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName>
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<MeshHeading><DescriptorName UI="D009333" MajorTopicYN="N">Neck</DescriptorName>
<QualifierName UI="Q000033" MajorTopicYN="N">anatomy & histology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018787" MajorTopicYN="N">Radiation Oncology</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Head and neck tumors</Keyword>
<Keyword MajorTopicYN="N">IMRT</Keyword>
<Keyword MajorTopicYN="N">Lymph node levels</Keyword>
<Keyword MajorTopicYN="N">Neck nodes</Keyword>
<Keyword MajorTopicYN="N">Worldwide consensus</Keyword>
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