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

Saved in:
Bibliographic Details
Published in:American journal of otolaryngology 2013-03, Vol.34 (2), p.103-106
Main Authors: 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
Format: Article
Language:English
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
Mortality
Otolaryngology
Squamous Cell Carcinoma of Head and Neck
Surgery
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2012.09.007