[Role of upper jugular node dissection in the management of supraglottic cancer of N0 category].
The results of management of neck nodes in 295 cases with supraglottic laryngeal carcinoma were reviewed. Different approaches had been adopted. For N1-N3 cases RND was instituted routinely; for N0 cases, RND, which has been advocated by many authors, seems to be an overtreatment. We prefer upper jugular node dissection for pathologic evaluation. Out of 86 N0 cases, only 6 were proved to be positive for metastases. The 3 and 5 year survival rates for this series were 89.5% and 75.3% respectively which were comparable with those reported to have RND.
Xu
Z G
ZG
Department of Head and Neck Surgery, Cancer Hospital, CAMS, Beijing.
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*; D009364:Neoplasm Recurrence, Local; D015996:Survival Rate