Improving Survival of T3cN0M0 Glottic Squamous Cell Cancer With Elective Neck Dissection

2021 ◽  
Author(s):  
Zhimou Cai ◽  
Lin Chen ◽  
Jingwei Zhang ◽  
Yihui Wen ◽  
Wenbin Lei
2021 ◽  
Author(s):  
Zhimou Cai ◽  
Lin Chen ◽  
Jiangwei Zhang ◽  
Yihui Wen ◽  
Wen-bin Lei

Abstract How to treat clinically node-negative (cN0) neck in larynx squamous cell cancer (LSCC) has been subject to considerable discussion. The role of elective neck dissection (END) in patients with T3 glottic squamous cell cancer (GSCC) with cN0 is remain unclear. The objective of this study is to elucidate the role of END in improve the outcome of T3cN0M0 GSCC. Patients with T3cN0M0 GSCC in the Surveillance, Epidemiology, and End Results database (SEER) from 2004 to 2015 were extracted and stratified into END and Non-END cohorts, we found that only 22–58% T3cN0M0 GSCC were performed with END. After Propensity score matching (PSM), END cohort had better overall survival (OS) (median survival time: 93 vs 40 months, respectively; p < 0.0001) and cancer-specific survival (CSS) (HR 0.40, 95%CI 0.26 to 0.64, p = 0.0012) than non-END cohort. In addition, Subgroup analysis also indicated END cohort had better OS or CSS than non-END cohort.This study demonstrated that in patients with T3cN0M0 GSCC, END significantly associated with better survival outcomes compared with non-END.


2002 ◽  
Vol 116 (11) ◽  
pp. 925-928 ◽  
Author(s):  
Jemy Jose ◽  
Andrew P. Coatesworth ◽  
Colin Johnston ◽  
Ken MacLennan

The treatment of cervical lymph node metastases is an important part of the management of oropharyngeal squamous cell cancer. Metastases are already clinically present in 61 per cent (+ or −2.6 per cent) of patients at presentation. Previous studies concerning the prevalence and distribution of neck node metastases in oropharyngeal carcinoma have been retrospective, and little or no information is available about the histopathological methods used.This study has prospectively analysed 85 neck dissection specimens in 72 consecutive patients with squamous cell carcinoma of the oropharynx, both with clinically N0 and N+ve necks, to identify the prevalence and distribution of cervical metastases. We have used a technique to separate the neck dissection into nodal levels per-operatively, and then embedded the entire specimen for histological examination to avoid missing metastatic disease in small lymph nodes (<3mm diameter).


2014 ◽  
Vol 25 (6) ◽  
pp. 1992-1997 ◽  
Author(s):  
Georgios Koloutsos ◽  
Konstantinos Vahtsevanos ◽  
Athanassios Kyrgidis ◽  
Nikolaos Kechagias ◽  
Stefanos Triaridis ◽  
...  

Head & Neck ◽  
1998 ◽  
Vol 20 (8) ◽  
pp. 668-673 ◽  
Author(s):  
Louis B. Harrison ◽  
Henry J. Lee ◽  
David G. Pfister ◽  
Dennis H. Kraus ◽  
Carol White ◽  
...  

1997 ◽  
Vol 111 (5) ◽  
pp. 449-453 ◽  
Author(s):  
Thomas W. Mesko ◽  
Orlando Garcia ◽  
Lisa D. Yee ◽  
MaryJo Villar ◽  
Helen Chan

AbstractThe syndrome of inappropriate secretion of antidiuretic hormone (SIADH) canhave multiple causes. Surgical neck dissections may have an association with this syndrome and represent the basis for this study. A retrospective review of 50 patients undergoing neck dissections was performed to evaluate for the development of hyponatraemia as a consequence of SIADH. Based on the results of this review, a prospective study of 20 consecutive patients undergoing 22 neck dissections was performed to determine the incidence ofSIADH. A control group of 25 consecutive patients undergoing major non-neck dissection surgery was also studied. SIADH developed in nine of 50 patients (18 per cent) of our retrospective group with a high incidence of development in those who had jugular vein ligation (JVL) (22 per cent), pre-operative radiation therapy (25 per cent) or squamous cell cancers (32 per cent). SIADH developed in six patients undergoing 22 neck dissections (27 per cent) in our prospective group. A high incidence was also noted for those with JVL (42 per cent), pre-operative radiation therapy (67 per cent) or squamous cell cancer (40 per cent). No patients developed symptomatic hyponatraemia. No patients in the prospective control group developed SIADH. Neck dissection surgery is associated with a significant risk for the development of SIADH. Factors such as jugular vein ligation (JVL), pre-operative radiotherapy and squamous cell cancer appear to increase this risk.


2014 ◽  
Vol 42 (8) ◽  
pp. 1834-1839 ◽  
Author(s):  
Raul Pellini ◽  
Valentina Manciocco ◽  
Mario Turri-Zanoni ◽  
Antonello Vidiri ◽  
Giuseppe Sanguineti ◽  
...  

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