Management of the N0 neck in early cancer of the oral tongue

被引：62

作者：

Yii, NW ^{[1
]}

Patel, SG ^{[1
]}

Rhys-Evans, PH ^{[1
]}

Breach, NM ^{[1
]}

机构：

[1] Royal Marsden Hosp, Head & Neck Unit, London SW3 6JJ, England

来源：

CLINICAL OTOLARYNGOLOGY | 1999年 / 24卷 / 01期

关键词：

tongue neoplasms; lymphatic metastasis; elective neck treatment;

D O I：

10.1046/j.1365-2273.1999.00224.x

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Elective treatment of the clinically negative neck in the management of early oral tongue cancers remains controversial. A retrospective review of 71 patients with T1-2N0M0 squamous eel carcinoma of the oral tongue treated at the Royal Marsden Hospital was carried out. Cervical nodal recurrence at 2 years was 17% in the group of patients who received elective neck treatment as compared to 43% in the group who had observation of the neck and the difference is statistically significant (P = 0.025). The difference in 5-year survival between the group who had elective neck treatment and the group who did not (75% versus 65%) was not statistically significant. Until future research allows us to be more selective on the basis of a reliable panel of histological and/or biological markers for propensity to nodal metastases, elective neck treatment should be considered in the initial management of the patients with early oral tongue cancer.

引用

页码：75 / 79

页数：5