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Selective versus comprehensive neck dissection in the treatment of patients with a pathologically node-positive neck with or without microscopic extracapsular spread in oral squamous cell carcinoma
Feng, Z.1; Gao, Y.2; Niu, L. X.1; Peng, X.1; Guo, C. B.1
关键词oral squamous cell carcinoma selective neck dissection comprehensive neck dissection microscopic extracapsular spread prognosis complication
刊名INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2014-10-01
DOI10.1016/j.ijom.2014.05.018
43期:10页:1182-1188
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Dentistry, Oral Surgery & Medicine ; Surgery
研究领域[WOS]Dentistry, Oral Surgery & Medicine ; Surgery
关键词[WOS]SUPRAOMOHYOID NECK ; METASTASES ; MANAGEMENT ; RATIONALE ; TONGUE ; MOUTH ; FLOOR ; HEAD
英文摘要

The objective of this study was to compare the prognosis and complications between selective neck dissection (SND) and comprehensive neck dissection (CND) for patients with a pathologically node-positive neck in squamous cell carcinoma of the tongue and the floor of the mouth. This was a retrospective cohort study. There was no significant difference between the SND group and the CND group in 3-year neck control rate (86.2% vs. 85.9%, P = 0.797) or disease-specific survival (DSS) rate (64.6% vs. 61.9%, P = 0.646). Further analyses of the respective 3-year DSS rates in the SND and CND subgroups were as follows: pN1 without extracapsular spread (ECS), 67.7% vs. 72.2%, P = 0.851; pN2b without ECS, 64.7% vs. 68.8%, P = 0.797; and pN+ with ECS, 57.1% vs. 60.0%, P = 0.939. Of note, there were significantly fewer complications in the SND group compared with the CND group (7.3% vs. 20.0%, P = 0.032). Multivariate analysis showed that the modality of neck treatment, pN+ status, and microscopic ECS did not serve as independent prognostic factors. SND plus adjuvant radiotherapy is a management strategy of high efficiency and minor morbidity for selected oral cancer patients with a pN+ neck with or without microscopic ECS.

语种英语
WOS记录号WOS:000343389800003
项目编号81302350 ; 7144258 ; 2013M530495 ; 2009AA045201
资助机构National Natural Science Foundation of China ; Beijing Municipal Natural Science Foundation ; China Postdoctoral Science Foundation ; National High Technology Research and Development Program of China
引用统计
被引频次:8[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/400002259/62929
专题北京大学口腔医学院
北京大学口腔医学院_外科
作者单位1.Peking Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Beijing 100081, Peoples R China
2.Peking Univ, Sch Stomatol, Dept Pathol, Beijing 100081, Peoples R China
推荐引用方式
GB/T 7714
Feng, Z.,Gao, Y.,Niu, L. X.,et al. Selective versus comprehensive neck dissection in the treatment of patients with a pathologically node-positive neck with or without microscopic extracapsular spread in oral squamous cell carcinoma[J]. INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY,2014,43(10):1182-1188.
APA Feng, Z.,Gao, Y.,Niu, L. X.,Peng, X.,&Guo, C. B..(2014).Selective versus comprehensive neck dissection in the treatment of patients with a pathologically node-positive neck with or without microscopic extracapsular spread in oral squamous cell carcinoma.INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY,43(10),1182-1188.
MLA Feng, Z.,et al."Selective versus comprehensive neck dissection in the treatment of patients with a pathologically node-positive neck with or without microscopic extracapsular spread in oral squamous cell carcinoma".INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY 43.10(2014):1182-1188.
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