Selektywne rozszerzone usunięcie nadgnykowego układu chłonnego szyi u chorych na raka płaskonabłonkowego jamy ustnej i gardła środkowego
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 3
Abstract
Background. Extended supraomohyoid neck nodes dissection (ESOHND) involves surgical resection of nodal levels from I to IV. The incidence of occult metastases in level V is rare and mainly depends of the location and size of the primary tumour in oral cavity and oropharynx squamous cell cancer. Aim. The aim of this study was to present the results of treatment with extended supraomohyoid neck dissection. Methods. The records of 72 patients with cancer of the oral cavity undergoing extended supraomohyoid neck dissection (ESOHND) during the period 15.12.2003 - 13.06.2005 were reviewed. Results. Tumor and nodal stage were: T2-9(13%), T3-39(54%), T4-24(33%), N0-14(19%), N1-31(43%), N2-25(35%), N3-2(3%). 64 patients were treated with surgery and postoperative adjuvant radiotherapy. The follow-up period ranged from 11 to 27 months. The surgical failure rate was 8% (occurred in 6 of 72 patients). Conclusions. Preliminary analysis suggests extended supraomohyoid neck nodes dissection to be considered as a therapeutic and diagnostic procedure in patients with squamous cell cancer of oral cavity and oropharynx.
Authors and Affiliations
Łukasz Krakowczyk, Cezary Szymczyk, Janusz Wierzgoń, Adam Maciejewski, Stanisław Półtorak
Keywords
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