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Management of neck metastases in T2N0 lip squamous cell carcinoma

Abstract Background Prophylactic neck dissection (PND) is indicated when the chance of occult lymph node metastases from head and neck tumors is significant. There is no consensus regarding which tumor size PND would be indicated in cases of lip cancer. Methods A total of 139 patients with surgicall... Full description

Journal Title: American journal of otolaryngology 2013, Vol.34 (2), p.103-106
Main Author: Vanderlei, João Paulo de Medeiros, MD
Other Authors: Pereira-Filho, Francisco Januário Farias, MD , da Cruz, Fernanda Aguiar, MD , de Mello, Fábio Longarini Veríssimo , Kruschewsky, Leonardo de Souza, MD, PhD , de Freitas, Luiz Carlos Conti, MD, PhD , de Mello-Filho, Francisco Veríssimo, MD, PhD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0196-0709
Link: https://www.ncbi.nlm.nih.gov/pubmed/23164629
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recordid: cdi_proquest_miscellaneous_1315628136
title: Management of neck metastases in T2N0 lip squamous cell carcinoma
format: Article
creator:
  • Vanderlei, João Paulo de Medeiros, MD
  • Pereira-Filho, Francisco Januário Farias, MD
  • da Cruz, Fernanda Aguiar, MD
  • de Mello, Fábio Longarini Veríssimo
  • Kruschewsky, Leonardo de Souza, MD, PhD
  • de Freitas, Luiz Carlos Conti, MD, PhD
  • de Mello-Filho, Francisco Veríssimo, MD, PhD
subjects:
  • Cancer therapies
  • Carcinoma, Squamous Cell - pathology
  • Carcinoma, Squamous Cell - secondary
  • Carcinoma, Squamous Cell - surgery
  • Committees
  • Dissection
  • Head and Neck Neoplasms - pathology
  • Head and Neck Neoplasms - secondary
  • Head and Neck Neoplasms - surgery
  • Hospitals
  • Humans
  • Lip Neoplasms - pathology
  • Lymph Node Excision
  • Lymphatic Metastasis
  • Metastasis
  • Mortality
  • Otolaryngology
  • Squamous cell carcinoma
  • Squamous Cell Carcinoma of Head and Neck
  • Surgery
  • Tumors
ispartof: American journal of otolaryngology, 2013, Vol.34 (2), p.103-106
description: Abstract Background Prophylactic neck dissection (PND) is indicated when the chance of occult lymph node metastases from head and neck tumors is significant. There is no consensus regarding which tumor size PND would be indicated in cases of lip cancer. Methods A total of 139 patients with surgically treated lip cancer were selected. The size of the lesion (T) and the presence of lymph node metastases (N) were assessed by examining the medical records. For analysis purposes, the T2 group was divided into T2a (2 to 3 cm) and T2b (3 to 4 cm). Results The following distribution of incidence of neck metastases was observed in the study groups: 11.7% in T1, 9% in T2a, 43.7% in T2b, and 52.2% in T3 + T4. Statistical comparison of the groups (p) revealed the following results: T2a X T2b = 0.03; T2a X T3 + T4 = 0.001. Conclusion PND is indicated for tumors larger than 3 cm.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0196-0709
fulltext: fulltext
issn:
  • 0196-0709
  • 1532-818X
url: Link


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creatorVanderlei, João Paulo de Medeiros, MD ; Pereira-Filho, Francisco Januário Farias, MD ; da Cruz, Fernanda Aguiar, MD ; de Mello, Fábio Longarini Veríssimo ; Kruschewsky, Leonardo de Souza, MD, PhD ; de Freitas, Luiz Carlos Conti, MD, PhD ; de Mello-Filho, Francisco Veríssimo, MD, PhD
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descriptionAbstract Background Prophylactic neck dissection (PND) is indicated when the chance of occult lymph node metastases from head and neck tumors is significant. There is no consensus regarding which tumor size PND would be indicated in cases of lip cancer. Methods A total of 139 patients with surgically treated lip cancer were selected. The size of the lesion (T) and the presence of lymph node metastases (N) were assessed by examining the medical records. For analysis purposes, the T2 group was divided into T2a (2 to 3 cm) and T2b (3 to 4 cm). Results The following distribution of incidence of neck metastases was observed in the study groups: 11.7% in T1, 9% in T2a, 43.7% in T2b, and 52.2% in T3 + T4. Statistical comparison of the groups (p) revealed the following results: T2a X T2b = 0.03; T2a X T3 + T4 = 0.001. Conclusion PND is indicated for tumors larger than 3 cm.
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subjectCancer therapies ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - secondary ; Carcinoma, Squamous Cell - surgery ; Committees ; Dissection ; Head and Neck Neoplasms - pathology ; Head and Neck Neoplasms - secondary ; Head and Neck Neoplasms - surgery ; Hospitals ; Humans ; Lip Neoplasms - pathology ; Lymph Node Excision ; Lymphatic Metastasis ; Metastasis ; Mortality ; Otolaryngology ; Squamous cell carcinoma ; Squamous Cell Carcinoma of Head and Neck ; Surgery ; Tumors
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descriptionAbstract Background Prophylactic neck dissection (PND) is indicated when the chance of occult lymph node metastases from head and neck tumors is significant. There is no consensus regarding which tumor size PND would be indicated in cases of lip cancer. Methods A total of 139 patients with surgically treated lip cancer were selected. The size of the lesion (T) and the presence of lymph node metastases (N) were assessed by examining the medical records. For analysis purposes, the T2 group was divided into T2a (2 to 3 cm) and T2b (3 to 4 cm). Results The following distribution of incidence of neck metastases was observed in the study groups: 11.7% in T1, 9% in T2a, 43.7% in T2b, and 52.2% in T3 + T4. Statistical comparison of the groups (p) revealed the following results: T2a X T2b = 0.03; T2a X T3 + T4 = 0.001. Conclusion PND is indicated for tumors larger than 3 cm.
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2Carcinoma, Squamous Cell - secondary
3Carcinoma, Squamous Cell - surgery
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6Head and Neck Neoplasms - pathology
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titleManagement of neck metastases in T2N0 lip squamous cell carcinoma
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1Pereira-Filho, Francisco Januário Farias, MD
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abstractAbstract Background Prophylactic neck dissection (PND) is indicated when the chance of occult lymph node metastases from head and neck tumors is significant. There is no consensus regarding which tumor size PND would be indicated in cases of lip cancer. Methods A total of 139 patients with surgically treated lip cancer were selected. The size of the lesion (T) and the presence of lymph node metastases (N) were assessed by examining the medical records. For analysis purposes, the T2 group was divided into T2a (2 to 3 cm) and T2b (3 to 4 cm). Results The following distribution of incidence of neck metastases was observed in the study groups: 11.7% in T1, 9% in T2a, 43.7% in T2b, and 52.2% in T3 + T4. Statistical comparison of the groups (p) revealed the following results: T2a X T2b = 0.03; T2a X T3 + T4 = 0.001. Conclusion PND is indicated for tumors larger than 3 cm.
copUnited States
pubElsevier Inc
pmid23164629
doi10.1016/j.amjoto.2012.09.007