0 176

Cited 15 times in

Nineteen-year oncologic outcomes and the benefit of elective neck dissection in salivary gland adenoid cystic carcinoma.

 So Yoon Lee  ;  Bo Hwan Kim  ;  Eun Chang Choi 
 Head & Neck, Vol.36(12) : 1796-1801, 2014 
Journal Title
 Head & Neck 
Issue Date
Adult ; Aged ; Aged, 80 and over ; Carcinoma, Adenoid Cystic/mortality* ; Carcinoma, Adenoid Cystic/secondary ; Carcinoma, Adenoid Cystic/surgery* ; Elective Surgical Procedures* ; Female ; Humans ; Male ; Middle Aged ; Neck Dissection* ; Retrospective Studies ; Salivary Gland Neoplasms/mortality* ; Salivary Gland Neoplasms/pathology ; Salivary Gland Neoplasms/surgery* ; Survival Rate ; Time Factors ; Treatment Outcome
adenoid cystic carcinoma ; elective neck dissection ; oncologic outcome ; regional metastasis ; survival
BACKGROUND: The purposes of this study were to evaluate the oncologic outcomes of salivary gland adenoid cystic carcinoma (ACC) and to confirm the benefits of elective neck dissection. METHODS: We reviewed the records of 61 consecutive patients with ACC. Surgery was performed in all patients. RESULTS: The occult metastasis rate was 15.38% (4 of 26 patients) and no regional recurrence in the elective neck dissection group was identified. Among 4 clinically node positive (cN+) patients, regional metastasis was identified in 3 through therapeutic neck dissection. Regional recurrence was identified in 4 patients (4 of 31) who had never undergone elective neck treatment of clinically node negative (cN-) status, exclusively. Overall regional metastases (overall N+) were identified in 11 patients. The overall survival rate was 84.99% at 5 years, 81.13% at 10 and 15 years in (overall N-) status, contrary to 56.82% at 5 years and 28.41% at 10 years in overall N+ status (p = .025). CONCLUSION: Careful follow-up of regional status is important, and proper therapeutic and elective neck treatment can achieve regional control in ACC. Elective neck dissection is recommendable and can provide valuable staging and prognostic information.
Full Text
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Choi, Eun Chang(최은창)
사서에게 알리기


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