1 595

Cited 58 times in

Preserving level IIb lymph nodes in elective supraomohyoid neck dissection for oral cavity squamous cell carcinoma

Authors
 Young Chang Lim  ;  Mee Hyun Song  ;  Eun Chang Choi  ;  Kwang Moon Kim  ;  Sang Cheol Kim 
Citation
 ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY , Vol.130(9) : 1088-1091, 2004 
Journal Title
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY
ISSN
 0886-4470 
Issue Date
2004
MeSH
Adolescent ; Adult ; Aged ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery* ; Child ; Female ; Humans ; Korea/epidemiology ; Lymphatic Metastasis ; Male ; Middle Aged ; Mouth Neoplasms/pathology ; Mouth Neoplasms/surgery* ; Neck Dissection/methods* ; Neoplasm Recurrence, Local/epidemiology ; Prospective Studies
Abstract
OBJECTIVE: To determine whether level IIb lymph nodes can be saved in elective supraomohyoid neck dissection (SOHND) as a treatment for patients with squamous cell carcinoma of the oral cavity.
DESIGN: Prospective analysis of a case series.
SETTING: University hospital.
PATIENTS AND INTERVENTIONS: From 1997 to 2001, 74 patients with squamous cell carcinoma of the oral cavity and with no palpable lymph nodes at the neck who underwent an elective SOHND were prospectively studied.
MAIN OUTCOME MEASURES: The incidence of pathological metastasis to level IIb lymph nodes and the regional recurrence within this area after elective SOHND was performed were evaluated.
RESULTS: Of the 74 patients, 24 (32%) had lymph nodes positive for microscopic metastatic squamous cell carcinoma. Four (5%) of the 74 patients had involvement of level IIb lymph nodes. There was no instance of isolated metastasis to level IIb lymph nodes without involvement of other nodes in the SOHND specimens. There were 6 cases of the ipsilateral neck recurrences, and of these, 2 patients (3% of all patients) developed recurrences in the level II lymph nodes.
CONCLUSIONS: Level IIb lymph node metastasis was rare in this study, and nodal recurrence in this area after SOHND in squamous cell carcinoma of the oral cavity was infrequent. Therefore, this region may be preserved in elective SOHND in patients with squamous cell carcinoma of the oral cavity.
Full Text
http://archotol.jamanetwork.com/article.aspx?articleid=648029
DOI
10.1001/archotol.130.9.1088
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kwang Moon(김광문)
Lim, Young Chang(임영창)
Choi, Eun Chang(최은창)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111164
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links