Second radical neck dissection
Identifieur interne : 005535 ( Istex/Corpus ); précédent : 005534; suivant : 005536Second radical neck dissection
Auteurs : S. R. Jackson ; P. M. StellSource :
- Clinical Otolaryngology & Allied Sciences [ 0307-7772 ] ; 1991-02.
Abstract
Second radical neck dissection We report a series of 96 patients (62 men and 34 women) undergoing a second radical neck dissection for enlarged contralateral cervical nodes after primary treatment of a squamous cell carcinoma of the head and neck, including an ipsilateral radical neck dissection. The proportion of patients requiring a second later neck dissection varied from 0% for tumours of the nasopharynx, nasal cavity and paranasal sinuses, to 5% for tumours of the hypopharynx. The incidence of second neck dissection was not determined by the original T stage of the primary tumour, but patients with enlarged nodes at presentation were 5 times more likely to need a second neck dissection than those with no palpable nodes at presentation. Also, patients with a poorly differentiated tumour were twice as likely to need a second neck dissection as those with a well differentiated tumour. The overall 5‐year survival after second neck dissection was 35% and the perioperative mortality 1.92%. Significant factors predicting survival after a second neck dissection were the time to recurrence, the clinical neck node status at recurrence, the number of histologically invaded nodes in the neck and the presence of extra‐nodal disease.
Url:
DOI: 10.1111/j.1365-2273.1991.tb01943.x
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Stell</name><affiliation><mods:affiliation>Department of Otorhinolaryngology, University of Liverpool, UK</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Otorhinolaryngology, Royal Liverpool Hospital, PO Box 147, Liverpool L69 3BX, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B5C13B421FBA880B8B1671356D63D52556583DF9</idno><date when="1991" year="1991">1991</date><idno type="doi">10.1111/j.1365-2273.1991.tb01943.x</idno><idno type="url">https://api.istex.fr/document/B5C13B421FBA880B8B1671356D63D52556583DF9/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">005535</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">005535</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main">Second radical neck dissection</title><author><name sortKey="Jackson, S R" sort="Jackson, S R" uniqKey="Jackson S" first="S. R." last="Jackson">S. R. Jackson</name><affiliation><mods:affiliation>Department of Otorhinolaryngology, University of Liverpool, UK</mods:affiliation></affiliation></author><author><name sortKey="Stell, P M" sort="Stell, P M" uniqKey="Stell P" first="P. M." last="Stell">P. M. Stell</name><affiliation><mods:affiliation>Department of Otorhinolaryngology, University of Liverpool, UK</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Otorhinolaryngology, Royal Liverpool Hospital, PO Box 147, Liverpool L69 3BX, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Clinical Otolaryngology & Allied Sciences</title><title level="j" type="alt">CLINICAL OTOLARYNGOLOGY AND ALLIED SCIENCES</title><idno type="ISSN">0307-7772</idno><idno type="eISSN">1365-2273</idno><imprint><biblScope unit="vol">16</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="52">52</biblScope><biblScope unit="page" to="58">58</biblScope><biblScope unit="page-count">7</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1991-02">1991-02</date></imprint><idno type="ISSN">0307-7772</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0307-7772</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Second radical neck dissection We report a series of 96 patients (62 men and 34 women) undergoing a second radical neck dissection for enlarged contralateral cervical nodes after primary treatment of a squamous cell carcinoma of the head and neck, including an ipsilateral radical neck dissection. The proportion of patients requiring a second later neck dissection varied from 0% for tumours of the nasopharynx, nasal cavity and paranasal sinuses, to 5% for tumours of the hypopharynx. The incidence of second neck dissection was not determined by the original T stage of the primary tumour, but patients with enlarged nodes at presentation were 5 times more likely to need a second neck dissection than those with no palpable nodes at presentation. Also, patients with a poorly differentiated tumour were twice as likely to need a second neck dissection as those with a well differentiated tumour. The overall 5‐year survival after second neck dissection was 35% and the perioperative mortality 1.92%. Significant factors predicting survival after a second neck dissection were the time to recurrence, the clinical neck node status at recurrence, the number of histologically invaded nodes in the neck and the presence of extra‐nodal disease.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>tumour</json:string><json:string>node</json:string><json:string>second neck dissection</json:string><json:string>neck dissection</json:string><json:string>oedema</json:string><json:string>primary tumour</json:string><json:string>dissection</json:string><json:string>jugular</json:string><json:string>venous</json:string><json:string>intracranial</json:string><json:string>intracranial pressure</json:string><json:string>bilateral neck dissection</json:string><json:string>carcinoma</json:string><json:string>neck oedema</json:string><json:string>bilateral neck dissections</json:string><json:string>squamous cell carcinoma</json:string><json:string>bilateral</json:string><json:string>primary site</json:string><json:string>histological grade</json:string><json:string>survival rates</json:string><json:string>rank test</json:string><json:string>ipsilateral neck dissection</json:string><json:string>bilateral nodes</json:string><json:string>metastatic carcinoma</json:string><json:string>nasal cavity</json:string><json:string>tumour factors</json:string><json:string>paranasal sinuses</json:string><json:string>host factors</json:string><json:string>node level</json:string><json:string>significant predictors</json:string><json:string>immediate period</json:string><json:string>jugular veins</json:string><json:string>venous drainage</json:string><json:string>oral cavity</json:string><json:string>internal jugular vein</json:string><json:string>radical neck dissection</json:string><json:string>latter patients</json:string></teeft></keywords><author><json:item><name>S.R. JACKSON</name><affiliations><json:string>Department of Otorhinolaryngology, University of Liverpool, UK</json:string></affiliations></json:item><json:item><name>P.M. STELL</name><affiliations><json:string>Department of Otorhinolaryngology, University of Liverpool, UK</json:string><json:string>Department of Otorhinolaryngology, Royal Liverpool Hospital, PO Box 147, Liverpool L69 3BX, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Keywords</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>squamous cell carcinoma</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>head and neck cancer</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>radical neck dissection</value></json:item></subject><articleId><json:string>COA52</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Second radical neck dissection We report a series of 96 patients (62 men and 34 women) undergoing a second radical neck dissection for enlarged contralateral cervical nodes after primary treatment of a squamous cell carcinoma of the head and neck, including an ipsilateral radical neck dissection. 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The proportion of patients requiring a second later neck dissection varied from 0% for tumours of the nasopharynx, nasal cavity and paranasal sinuses, to 5% for tumours of the hypopharynx.</p><p>The incidence of second neck dissection was not determined by the original T stage of the primary tumour, but patients with enlarged nodes at presentation were 5 times more likely to need a second neck dissection than those with no palpable nodes at presentation. Also, patients with a poorly differentiated tumour were twice as likely to need a second neck dissection as those with a well differentiated tumour.</p><p>The overall 5‐year survival after second neck dissection was 35% and the perioperative mortality 1.92%. 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The proportion of patients requiring a second later neck dissection varied from 0% for tumours of the nasopharynx, nasal cavity and paranasal sinuses, to 5% for tumours of the hypopharynx. The incidence of second neck dissection was not determined by the original T stage of the primary tumour, but patients with enlarged nodes at presentation were 5 times more likely to need a second neck dissection than those with no palpable nodes at presentation. Also, patients with a poorly differentiated tumour were twice as likely to need a second neck dissection as those with a well differentiated tumour. The overall 5‐year survival after second neck dissection was 35% and the perioperative mortality 1.92%. Significant factors predicting survival after a second neck dissection were the time to recurrence, the clinical neck node status at recurrence, the number of histologically invaded nodes in the neck and the presence of extra‐nodal disease.</abstract><subject lang="en"><genre>keywords</genre><topic>Keywords</topic><topic>squamous cell carcinoma</topic><topic>head and neck cancer</topic><topic>radical neck dissection</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Otolaryngology & Allied Sciences</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0307-7772</identifier><identifier type="eISSN">1365-2273</identifier><identifier type="DOI">10.1111/(ISSN)1365-2273</identifier><identifier type="PublisherID">COA</identifier><part><date>1991</date><detail type="volume"><caption>vol.</caption><number>16</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>52</start><end>58</end><total>7</total></extent></part></relatedItem><identifier type="istex">B5C13B421FBA880B8B1671356D63D52556583DF9</identifier><identifier type="DOI">10.1111/j.1365-2273.1991.tb01943.x</identifier><identifier type="ArticleID">COA52</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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