Elective Neck Dissection and Survival in Patients With Squamous Cell Carcinoma of the Oral Cavity and Oropharynx

Objective/Hypothesis: The utility of elective neck dissection in the management of patients with oral cavity and oropharyngeal cancer who present without neck metastases remains controversial. The study addressed the question of whether elective neck dissection improves regional control and survival...

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Bibliographic Details
Published in:The Laryngoscope 2004-12, Vol.114 (12), p.2228-2234
Main Authors: Duvvuri, Umamaheswar, Simental Jr, Alfred A., D'Angelo, Gina, Johnson, Jonas T., Ferris, Robert L., Gooding, William, Myers, Eugene N.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Cause of Death
Cohort Studies
Elective neck dissection
Elective Surgical Procedures
Female
Humans
Male
Medical sciences
Middle Aged
Mouth Neoplasms - mortality
Mouth Neoplasms - pathology
Mouth Neoplasms - surgery
Neck Dissection - methods
Neck Dissection - mortality
oral cavity
Oropharyngeal Neoplasms - mortality
Oropharyngeal Neoplasms - pathology
Oropharyngeal Neoplasms - surgery
Otorhinolaryngology. Stomatology
Probability
Prognosis
Proportional Hazards Models
Retrospective Studies
Risk Assessment
squamous cell carcinoma
survival
Survival Analysis
Treatment Outcome
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Summary:Objective/Hypothesis: The utility of elective neck dissection in the management of patients with oral cavity and oropharyngeal cancer who present without neck metastases remains controversial. The study addressed the question of whether elective neck dissection improves regional control and survival in patients with squamous cell carcinoma of the oral cavity and oropharynx presenting with T1/T2 node‐negative disease. Study Design: A nonrandomized, uncontrolled retrospective chart review. Methods: A nonrandomized, uncontrolled retrospective chart review was performed. Resection of the primary tumor was performed in all patients. The neck was observed in one group, and elective neck dissection was performed for patients in another group. Results: The study data indicated that elective neck dissection significantly improves regional control and regional recurrence‐free survival. Elective neck dissection when compared with observation of the neck did not improve overall survival. Conclusion: Elective neck dissection reduces regional recurrence and may extend disease‐free survival.
ISSN:0023-852X
1531-4995
DOI:10.1097/01.mlg.0000149464.73080.20