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Elective Neck Dissection in patients with stage T1-T2N0 carcinoma of the anterior tongue

The presence of neck metastases represents one of the most important prognostic factors for carcinomas of the anterior tongue, the five-year survival rate being under 20% in patients with regional metastases. The aim of this study was to demonstrate the efficacy of prophylactic selective neck dissec...

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Bibliographic Details
Published in:Hippokratia 2014-01, Vol.18 (2), p.120-124
Main Authors: Mirea, D, Grigore, R, Safta, D, Mirea, L, Popescu, Cr, Popescu, B, Berteşteanu, Svg
Format: Article
Language:English
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Summary:The presence of neck metastases represents one of the most important prognostic factors for carcinomas of the anterior tongue, the five-year survival rate being under 20% in patients with regional metastases. The aim of this study was to demonstrate the efficacy of prophylactic selective neck dissection in patients without detectable nodal metastases. A matched case-control study with prospective follow up was conducted in ENT Department of Coltea Clinical Hospital for 86 patients with T1-T2N0 stage carcinoma of the anterior tongue surgically treated between January 2000 and January 2005 with or without concurrent selective supraomohyoid neck dissection (SND). The patients were divided in two groups, comparable in age and sex distribution. Descriptive statistics, risk of recurrences, Kaplan Maier five-year survival curves and the global and specific mortality rates were performed using EpiInfo software. The level of significance was established at p
ISSN:1108-4189
1790-8019