title: [Isolated lymphatic recurrences in patients with head and neck carcinomas].
abstract: OBJECTIVE
  Recurrencies of lymphatic metastasis implies a poor prognosis in patients with head and neck carcinoma. The aim of our study is to analyse the results of salvage treatment after an isolated regional tumour recurrence.
  
  
  METHODS
  Retrospective study of 144 patients with head and neck carcinoma with an isolated neck recurrence. The treatments used, regional control and patient's survival were analysed.
  
  
  RESULTS
  Sixty-four percent (92/144) of patients were not candidates to salvage treatment with radical intention. Salvage surgery was performed in 36% (52/144) of patients, with a survival of 46% in this group of patients. Previous treatment of the neck was the most relevant variable to decide a salvage surgery. Patients treated initially with neck dissection had the worst prognosis.
  
  
  CONCLUSIONS
  The existence of a regional recurrence has a bad prognosis, with 16% 5-year survival. Only 36% of patients were considered candidates to salvage treatment, achieving 46% of survival.
authors.affiliation: Servicio de Otorrinolaringología, Hospital de Sant Pau., Avda. San Antoni Ma Claret, 167, 08025 Barcelona. xleon@hsp.santpau.es
authors.forename: X
authors.initials: X
authors.lastname: León
authors.forename: L
authors.initials: L
authors.lastname: Gañán
authors.forename: M
authors.initials: M
authors.lastname: Costey
authors.forename: K
authors.initials: K
authors.lastname: Kolanczak
authors.forename: C
authors.initials: C
authors.lastname: Orús
authors.forename: M
authors.initials: M
authors.lastname: Quer
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000401:mortality / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006258:Head and Neck Neoplasms / Q000401:mortality / Q000473:pathology* / Q000628:therapy; D006801:Humans; D015993:Life Tables; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000532:radiotherapy; D008297:Male; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D011446:Prospective Studies; D011867:Radioisotope Teletherapy; D012189:Retrospective Studies; D016879:Salvage Therapy; D013030:Spain / Q000453:epidemiology; D016019:Survival Analysis; D016896:Treatment Outcome