Role of Selective Neck Dissection in Primary T1, T2, N0 Neck Oral Tongue Carcinoma

Background: Oral tongue is one of the common site for carcinoma. 22% to 39% of oral cancer develops at this site. The high incidence of cervical lymph node metastasis, occult cervical metastasis, Provide a logical basis for treatment of the neck. The aim of this is study was to find out the importance of selective neck dissection in primary T1, T2, N0 Neck Oral Tongue Carcinoma. Methods: This cross-sectional study was conducted in the Department of Otolaryngology- Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka Medical College Hospital and National Institute of ENT, Dhaka. Thirty cases of primary T1, T2, N0 Neck Oral Tongue Carcinoma with inclusion criteria was enrolled as a study sample. Patients were evaluated by a complete clinical head and neck examination as well as Imaging (MRI) of the primary tumor and neck. All the data were compiled and sorted properly and the numerical data were analyzed statistically. The results were expressed as percentage and mean ± SD. Chi-square (x2) test or Fisher’s Exact test was done for comparison of data presented in categorical value and p value <0.05 was considered as the level of significance. Among the patients 23(76.7%) were T1 lesion and remaining 7(23.33%) were T2 lesion. Extended Supraomohyoid Selective Neck Dissection (SOSD) (I-IV) was done in all patients. Following histopathological examination, 8(26.67%) patients of N0 neck became positive for nodal metastasis. Results: The study showed that most commonly (50%) involved group of occult metastasis was upper deep cervical lymph node in submandibular area (level-I). Occult nodal metastasis was significantly common 87.5% among male patients than females (p=0.039) and also common 87.5% among <50 years age group (p=0.023). Neck node positive was significantly more 62.5% in T2 lesion (p=0.002) of oral tongue carcinoma. Conclusion: In this study, we found that a number of patients had been histopathologicallly detected micro-metastases in regional neck nodes in clinically N0 patients.So, Extended Supraomohyoid Selective neck dissection (I-IV) was appropriate in T1,T2, N0 Neck Oral Tongue Carcinoma. Bangladesh J Otorhinolaryngol 2021; 27(2): 130-138

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Prospective randomized study of selective neck dissection versus observation for N0 neck of early tongue carcinoma

Head & Neck ◽

10.1002/hed.21033 ◽

2009 ◽

Vol 31 (6) ◽

pp. 765-772 ◽

Cited By ~ 134

Author(s):

Anthony Po-Wing Yuen ◽

Chiu Ming Ho ◽

Tam Lin Chow ◽

Lap Chiu Tang ◽

Wing Yung Cheung ◽

...

Keyword(s):

Neck Dissection ◽

Randomized Study ◽

Prospective Randomized Study ◽

Selective Neck Dissection ◽

Tongue Carcinoma ◽

N0 Neck

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Role of neck dissection for metastatic nonseminomatous testicular carcinoma: case report and literature review

The Journal of Laryngology & Otology ◽

10.1017/s0022215113002090 ◽

2013 ◽

Vol 127 (10) ◽

pp. 1038-1039 ◽

Cited By ~ 1

Author(s):

A O'Connor ◽

A Dias ◽

C Timon

Keyword(s):

Case Report ◽

Lymph Node ◽

Testicular Cancer ◽

Neck Dissection ◽

Cervical Lymph Node ◽

Neck Mass ◽

Selective Neck Dissection ◽

Cervical Lymph Node Metastases ◽

Testicular Carcinoma ◽

Node Metastases

AbstractObjectives:To review the incidence, treatment and prognosis of testicular carcinoma metastatic to the neck, and to propose a selective neck dissection be performed for residual disease post-chemotherapy.Case report:A 17-year-old young man with metastatic testicular carcinoma presented with a left neck mass. A palpable neck mass is the initial sign in approximately 5 per cent of cases of metastatic testicular teratoma. Approximately 30 per cent of patients with advanced-stage testicular cancer have extra-retroperitoneal disease post-chemotherapy, which requires resection. The presented patient underwent a left selective neck dissection, thymectomy, median sternotomy, left thoracotomy and mediastinal lymph node dissection. Eighteen months later, a computed tomography scan of the thorax showed no evidence of disease recurrence in the neck or mediastinum.Conclusion:While surgical management of testicular cancer retroperitoneal metastases is well described, there is limited literature on the management of cervical lymph node metastases. In the presented case of metastatic testicular carcinoma with cervical lymph node metastases, a selective neck dissection was successfully performed for a post-chemotherapy mass.

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Role of Sampling Neck Dissection in Early Oral Tongue Carcinoma

Bangladesh Journal of Otorhinolaryngology ◽

10.3329/bjo.v26i2.50643 ◽

2020 ◽

Vol 26 (2) ◽

pp. 147-152

Author(s):

Md Shoukat Ali ◽

SM Masudul Alam ◽

Md Mahbubul Alam ◽

Md Abdus Sattar ◽

Md Mosleh Uddin ◽

...

Keyword(s):

Neck Dissection ◽

Early Stage ◽

Tertiary Care ◽

Cross Sectional Study ◽

Nodal Metastasis ◽

Stage Migration ◽

Tongue Carcinoma ◽

Oral Tongue ◽

Cross Sectional ◽

Male Patients

Background: Carcinoma of oral tongue has a great potential for metastatic spread to neck nodes, which may not be clinically detected in early stage. To detect frequency of occult neck metastasis in clinically No patients with early oral tongue carcinoma (stage I & II) the study has done. Methods: It was a 2 years cross sectional study among fifty patients in three tertiary care hospitals of Dhaka from 2016 to 2018. Results: Majority of the patients were male (M:F=3:2) with age ranged 25 to 80 years. Among these patients 38(76%) were in T1 and remaining 12(24%) in T2 stage. Tongue ulceration was most common(84%) presenting feature followed by dysphagia(64%) and pain(52%).Only 32(64%) patients revealed no histopathological proved metastasis(true N0). Occult nodal metastasis was significantly common(83.33%) among male patients than females(p<0.01) and also common(72.22%) among < 50 years age group(p<0.01).Sampling node positive was significantly more(66.67%) in T2 stage(p<0.01). Conclusion: Regarding clinical, radiological and histopathological stages and stage migration of early carcinoma in oral tongue this study revealed significant differentiation among these methods. This study implies sampling neck dissection of sentinel neck nodes in early oral tongue carcinoma for management. Bangladesh J Otorhinolaryngol; October 2020; 26(2): 147-152

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