Cited 43 times in
Level V lymph node dissection in oral and oropharyngeal carcinoma patients with clinically node-positive neck: Is it absolutely necessary?
DC Field | Value | Language |
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dc.contributor.author | 최은창 | - |
dc.date.accessioned | 2015-06-10T12:02:24Z | - |
dc.date.available | 2015-06-10T12:02:24Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 0023-852X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/109081 | - |
dc.description.abstract | OBJECTIVES: Postoperative shoulder dysfunction has been significantly associated with any dissection of level V secondary to traction or with ischemic injury to the spinal accessory nerve. The aim of this study was to determine whether the dissection of level V lymph node pads is absolutely necessary in therapeutic neck dissection as a treatment for oral and oropharyngeal squamous cell carcinoma (OOSCC) patients with clinically N+ neck. STUDY DESIGN: Retrospective chart review. METHODS: We performed a retrospective analysis of 93 OOSCC patients who underwent surgical treatment of the primary lesion along with a simultaneous comprehensive neck dissection from January 1992 to December 2003. Of these, only one patient had a clinically positive neck node at level V. During the neck dissection, the contents of the level V lymph nodes were dissected, labeled, and processed separately from the remainder of the major neck dissection specimen. We studied the incidence of pathologic metastasis to level V lymph nodes. In addition, we also evaluated several potential risk factors for metastatic disease in the level V lymph nodes such as sex, age, T stage, N stage, histologic grade, and presence of other positive lymph nodes. RESULTS: A total of 96 comprehensive neck dissections were performed in this series. The prevalence of metastases in the level V lymph nodes was 5% (5 of 93) in ipsilateral and 0% (0 of 3) in contralateral necks. One case with clinically positive node at level V had a pathologic positive node in level II, III, IV, and V. Occult metastasis rate of ipsilateral level V was 4% (4 of 92). There was a statistically significant association between level V metastases and a positive N stage above N2b (P=.01). The presence of metastasis in other multiple neck levels, particularly the combined neck levels II, III, and IV, also have a statistically significant association with level V metastasis (P=.023). CONCLUSION: Level V lymph node pads may be preserved in modified neck dissections on OOSCC patients with clinically N+ neck below the nodal stage N2a. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1232~1235 | - |
dc.relation.isPartOf | LARYNGOSCOPE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Carcinoma, Squamous Cell/secondary | - |
dc.subject.MESH | Carcinoma, Squamous Cell/surgery* | - |
dc.subject.MESH | Decision Making* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lymph Nodes/pathology* | - |
dc.subject.MESH | Lymph Nodes/surgery | - |
dc.subject.MESH | Lymphatic Metastasis | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neck | - |
dc.subject.MESH | Neck Dissection/methods* | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Oropharyngeal Neoplasms/pathology | - |
dc.subject.MESH | Oropharyngeal Neoplasms/surgery* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Level V lymph node dissection in oral and oropharyngeal carcinoma patients with clinically node-positive neck: Is it absolutely necessary? | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학) | - |
dc.contributor.googleauthor | Young Chang Lim | - |
dc.contributor.googleauthor | Bon Seok Koo | - |
dc.contributor.googleauthor | Jin Seok Lee | - |
dc.contributor.googleauthor | Eun Chang Choi | - |
dc.identifier.doi | 10.1097/01.mlg.0000224363.04459.8b | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A04161 | - |
dc.relation.journalcode | J02156 | - |
dc.identifier.eissn | 1531-4995 | - |
dc.identifier.pmid | 16826066 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1097/01.mlg.0000224363.04459.8b/abstract | - |
dc.contributor.alternativeName | Choi, Eun Chang | - |
dc.contributor.affiliatedAuthor | Choi, Eun Chang | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 116 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 1232 | - |
dc.citation.endPage | 1235 | - |
dc.identifier.bibliographicCitation | LARYNGOSCOPE, Vol.116(7) : 1232-1235, 2006 | - |
dc.identifier.rimsid | 50570 | - |
dc.type.rims | ART | - |
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