PET-CT Surveillance versus Neck Dissection in Advanced Head and Neck Cancer

Among patients who received chemotherapy for advanced head and neck cancer, 2-year overall survival was 81.5% in the group assigned to immediate radical neck dissection and 84.9% in the group assigned to positron-emission tomographic–computed tomographic surveillance. Chemoradiotherapy has become a...

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Veröffentlicht in:The New England journal of medicine 2016-04, Vol.374 (15), p.1444-1454
Hauptverfasser: Mehanna, Hisham, Wong, Wai-Lup, McConkey, Christopher C, Rahman, Joy K, Robinson, Max, Hartley, Andrew G.J, Nutting, Christopher, Powell, Ned, Al-Booz, Hoda, Robinson, Martin, Junor, Elizabeth, Rizwanullah, Mohammed, V. von Zeidler, Sandra, Wieshmann, Hulya, Hulme, Claire, Smith, Alison F, Hall, Peter, Dunn, Janet
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container_end_page 1454
container_issue 15
container_start_page 1444
container_title The New England journal of medicine
container_volume 374
creator Mehanna, Hisham
Wong, Wai-Lup
McConkey, Christopher C
Rahman, Joy K
Robinson, Max
Hartley, Andrew G.J
Nutting, Christopher
Powell, Ned
Al-Booz, Hoda
Robinson, Martin
Junor, Elizabeth
Rizwanullah, Mohammed
V. von Zeidler, Sandra
Wieshmann, Hulya
Hulme, Claire
Smith, Alison F
Hall, Peter
Dunn, Janet
description Among patients who received chemotherapy for advanced head and neck cancer, 2-year overall survival was 81.5% in the group assigned to immediate radical neck dissection and 84.9% in the group assigned to positron-emission tomographic–computed tomographic surveillance. Chemoradiotherapy has become a mainstay of primary treatment in patients with squamous-cell carcinoma of the head and neck. However, there are wide variations in the management of advanced nodal disease (stage N2 or N3) in these patients because of the lack of prospective, randomized, controlled trials. 1 , 2 Retrospective studies showed persistent disease on histopathological examination of nodes in up to 40% of patients who underwent neck dissection after chemoradiotherapy 3 and some evidence of a significant survival advantage associated with planned neck dissection. 4 , 5 However, owing to improvements in cross-sectional imaging, consistently low rates of recurrence (
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subjects Cancer therapies
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - surgery
Carcinoma, Squamous Cell - therapy
Chemoradiotherapy
Clinical trials
Computed tomography
Dissection
Female
Follow-Up Studies
Head & neck cancer
Head and Neck Neoplasms - diagnosis
Head and Neck Neoplasms - surgery
Head and Neck Neoplasms - therapy
Human papillomavirus
Humans
Intention to Treat Analysis
Kaplan-Meier Estimate
Lymphatic Metastasis - diagnosis
Male
Middle Aged
Neck
Neck Dissection
Neoplasm Recurrence, Local
Neoplasm Staging
Oropharyngeal cancer
p16 Protein
Patients
Positron emission tomography
Prospective Studies
Quality of Life
Squamous cell carcinoma
Surgery
Survival Rate
Throat cancer
Tomography
Tomography, X-Ray Computed
title PET-CT Surveillance versus Neck Dissection in Advanced Head and Neck Cancer
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