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Necessity of level IV dissection in cN0 hypopharyngeal carcinoma

Authors
 Yoo Seob Shin  ;  Se-Heon Kim  ;  Yoon Woo Koh  ;  Hyun Jun Hong  ;  Jeong Hun Seol  ;  Eun Chang Choi 
Citation
 ACTA OTO-LARYNGOLOGICA, Vol.131(6) : 665-669, 2011 
Journal Title
ACTA OTO-LARYNGOLOGICA
ISSN
 0001-6489 
Issue Date
2011
MeSH
Adult ; Aged ; Aged ; 80 and over ; Carcinoma ; Squamous Cell/drug therapy ; Carcinoma ; Squamous Cell/pathology ; Carcinoma ; Squamous Cell/radiotherapy ; Carcinoma ; Squamous Cell/surgery* ; Chemotherapy ; Adjuvant ; Combined Modality Therapy ; Female ; Humans ; HypopharyngealNeoplasms/drug therapy ; HypopharyngealNeoplasms/pathology ; HypopharyngealNeoplasms/radiotherapy ; HypopharyngealNeoplasms/surgery* ; Lymph Nodes/pathology ; Lymphatic Metastasis/pathology* ; Male ; Middle Aged ; NeckDissection/methods* ; Neoplasm Recurrence ; Local/pathology ; Neoplasm Staging ; Radiotherapy ; Adjuvant ; Retrospective Studies
Keywords
Hypopharynx ; neck dissection ; squamous cell carcinoma
Abstract
CONCLUSIONS: We suggest that contralateral level IV dissection is not necessary in patients with cN0 hypopharyngeal squamous cell carcinoma (HPSCC).

OBJECTIVES: Elective treatment of neck nodes is very important in the management of cN0 HPSCC. A selective neck dissection neck level II to IV (SND II-IV) is widely accepted as an elective neck treatment of cN0 HPSCC. However, there has been a lot of effort to reduce the extent of surgery. Therefore, we investigated the incidence of level IV metastasis and regional recurrence in cN0 HPSCC.

METHODS: We performed a retrospective review of 40 patients who underwent SND II-IV as an elective treatment for cN0 HPSCC from 1992 to 2010.

RESULTS: In all, 30 bilateral and 10 unilateral SND II-IVs were performed in 40 patients. Of the 70 SND II-IV specimens, 15 specimens from 14 patients (21%) were revealed to have positive lymph node metastasis. Level IV was involved in 3 of 70 necks (4.2%), but no isolated or contralateral level IV metastasis was observed. Every case that had level IV metastasis also had positive nodes in level II or III. There was no case of postoperative chylous leakage and only one case of phrenic nerve palsy.
Full Text
http://informahealthcare.com/doi/abs/10.3109/00016489.2011.554437
DOI
10.3109/00016489.2011.554437
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Se Heon(김세헌)
Shin, Yoo Seob(신유섭)
Choi, Eun Chang(최은창)
Hong, Hyun Jun(홍현준) ORCID logo https://orcid.org/0000-0002-7808-7877
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94123
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