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Supraomohyoid Neck Dissection in the Management of Oral Squamous Cell Carcinoma: Special Consideration for Skip Metastases at Level IV or V
Feng, Zhien; Li, Jian Nan; Niu, Li Xuan; Bin Guo, Chuan
刊名JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2014-06-01
DOI10.1016/j.joms.2013.12.008
72期:6页:1203-1211
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Dentistry, Oral Surgery & Medicine
研究领域[WOS]Dentistry, Oral Surgery & Medicine
关键词[WOS]LYMPH-NODE METASTASES ; CLINICALLY NEGATIVE NECK ; SELECTIVE NECK ; TONGUE CARCINOMA ; CANCER ; CAVITY ; RATIONALE ; HEAD ; N1
英文摘要

Purpose: The aim of this study was to evaluate the therapeutic safety and prognosis of supraomohyoid neck dissections for oral squamous cell carcinoma, with a special focus on the risk of skip metastases in level IV or V.

Materials and Methods: A retrospective study was conducted of 637 patients with oral squamous cell carcinoma who were admitted to the department of oral and maxillofacial surgery from September 1995 through July 2010. After completing a diagnostic evaluation, all patients underwent surgery (wide primary excision with supraomohyoid neck dissection, extended supraomohyoid neck dissection, or modified radical or radical neck dissection) and were followed periodically.

Results: Levels I, II, and III were the most common sites of occult metastasis. Skip metastases alone at level IV or Vand any neck recurrence at level IV or V were not found. Three-year neck recurrence-free survival and disease-specific survival were not significantly different among the patients who underwent supraomohyoid neck dissection, extended supraomohyoid neck dissection, or modified radical or radical neck dissection owing to cN0 to cN(+) disease.

Conclusions: The rate of skip metastasis at level IV or V is very rare and is very difficult to diagnose accurately. The results of this retrospective study show that supraomohyoid neck dissection for oral squamous cell carcinoma is an appropriate treatment. (C) 2014 American Association of Oral and Maxillofacial Surgeons

语种英语
WOS记录号WOS:000336032200030
项目编号2009AA045201 ; 81302350 ; 2013M530495
资助机构National High Technology Research and Development Program of China ; National Natural Science Foundation of China ; China Postdoctoral Science Foundation
引用统计
被引频次:12[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62255
专题北京大学口腔医学院
作者单位Peking Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Beijing 100081, Peoples R China
推荐引用方式
GB/T 7714
Feng, Zhien,Li, Jian Nan,Niu, Li Xuan,et al. Supraomohyoid Neck Dissection in the Management of Oral Squamous Cell Carcinoma: Special Consideration for Skip Metastases at Level IV or V[J]. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY,2014,72(6):1203-1211.
APA Feng, Zhien,Li, Jian Nan,Niu, Li Xuan,&Bin Guo, Chuan.(2014).Supraomohyoid Neck Dissection in the Management of Oral Squamous Cell Carcinoma: Special Consideration for Skip Metastases at Level IV or V.JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY,72(6),1203-1211.
MLA Feng, Zhien,et al."Supraomohyoid Neck Dissection in the Management of Oral Squamous Cell Carcinoma: Special Consideration for Skip Metastases at Level IV or V".JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY 72.6(2014):1203-1211.
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