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Patterns and treatment of neck metastases in patients with salivary gland cancers

Background Management of the neck in patients with salivary gland cancer is controversial. This study aimed to identify clinicopathologic characteristics associated with regional metastases and regional recurrence in patients with salivary gland carcinoma. Methods Of 363 study patients, 51 underwent...

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Published in:Journal of surgical oncology 2015-06, Vol.111 (8), p.1000-1006
Main Authors: Yoo, Shin-Hyuk, Roh, Jong-Lyel, Kim, Seon-Ok, Cho, Kyung-Ja, Choi, Seung-Ho, Nam, Soon Yuhl, Kim, Sang Yoon
Format: Article
Language:English
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Summary:Background Management of the neck in patients with salivary gland cancer is controversial. This study aimed to identify clinicopathologic characteristics associated with regional metastases and regional recurrence in patients with salivary gland carcinoma. Methods Of 363 study patients, 51 underwent therapeutic neck dissection (TND) and 312 underwent either elective neck dissection (END, n = 110) or no neck dissection (NoND, n = 202). Univariate and multivariate analyses were performed to identify clinicopathologic characteristics associated with regional metastases and recurrence. Results Pathologic neck metastases were identified in 17/110 (15.5%) END patients and neck recurrence was identified in 5/202 (2.5%) NoND patients. Histologic grade (P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.23914