Extent of neck dissection for patients with clinical N1 oral cancer
Background No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis. Patients Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patien...
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| Veröffentlicht in: | International journal of clinical oncology 2020-06, Vol.25 (6), p.1067-1071 |
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| container_title | International journal of clinical oncology |
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| creator | Kakei, Yasumasa Komatsu, Hirokazu Minamikawa, Tsutomu Hasegawa, Takumi Teshima, Masanori Shinomiya, Hirotaka Otsuki, Naoki Nibu, Ken-ichi Akashi, Masaya |
| description | Background
No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis.
Patients
Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I–V neck dissection as the initial treatment.
Results
None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II.
Conclusions
Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II. |
| doi_str_mv | 10.1007/s10147-020-01635-8 |
| format | Article |
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No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis.
Patients
Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I–V neck dissection as the initial treatment.
Results
None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II.
Conclusions
Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II.</description><identifier>ISSN: 1341-9625</identifier><identifier>EISSN: 1437-7772</identifier><identifier>DOI: 10.1007/s10147-020-01635-8</identifier><identifier>PMID: 32140953</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cancer Research ; Dissection ; Female ; Humans ; Lymph ; Lymphatic Metastasis ; Male ; Medicine ; Medicine & Public Health ; Metastases ; Metastasis ; Middle Aged ; Mouth Neoplasms - pathology ; Mouth Neoplasms - surgery ; Neck ; Neck Dissection - methods ; Neck Dissection - standards ; Oncology ; Oral cancer ; Original ; Original Article ; Patients ; Surgical Oncology ; Tongue ; Tongue Neoplasms - pathology ; Tongue Neoplasms - surgery</subject><ispartof>International journal of clinical oncology, 2020-06, Vol.25 (6), p.1067-1071</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-1896816e965e90e6bef3288dad13cb070c434c07fe0796cb199eff519706574a3</citedby><cites>FETCH-LOGICAL-c542t-1896816e965e90e6bef3288dad13cb070c434c07fe0796cb199eff519706574a3</cites><orcidid>0000-0002-5461-4871</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10147-020-01635-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10147-020-01635-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32140953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kakei, Yasumasa</creatorcontrib><creatorcontrib>Komatsu, Hirokazu</creatorcontrib><creatorcontrib>Minamikawa, Tsutomu</creatorcontrib><creatorcontrib>Hasegawa, Takumi</creatorcontrib><creatorcontrib>Teshima, Masanori</creatorcontrib><creatorcontrib>Shinomiya, Hirotaka</creatorcontrib><creatorcontrib>Otsuki, Naoki</creatorcontrib><creatorcontrib>Nibu, Ken-ichi</creatorcontrib><creatorcontrib>Akashi, Masaya</creatorcontrib><title>Extent of neck dissection for patients with clinical N1 oral cancer</title><title>International journal of clinical oncology</title><addtitle>Int J Clin Oncol</addtitle><addtitle>Int J Clin Oncol</addtitle><description>Background
No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis.
Patients
Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I–V neck dissection as the initial treatment.
Results
None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II.
Conclusions
Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cancer Research</subject><subject>Dissection</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - pathology</subject><subject>Mouth Neoplasms - surgery</subject><subject>Neck</subject><subject>Neck Dissection - methods</subject><subject>Neck Dissection - standards</subject><subject>Oncology</subject><subject>Oral cancer</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Surgical Oncology</subject><subject>Tongue</subject><subject>Tongue Neoplasms - pathology</subject><subject>Tongue Neoplasms - surgery</subject><issn>1341-9625</issn><issn>1437-7772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUlvFDEQhS0EIgv8AQ7IEhcuDeW12hckNAqLFMEFzpbHU5049NiD3UPg32OYEJYDp7JUXz2_p8fYIwHPBAA-bwKExgEkDCCsMsN4hx0LrXBARHm3v5UWg7PSHLGT1q4ABFoj77MjJYUGZ9QxW519XSgvvEw8U_zEN6k1iksqmU-l8l1YUl83fp2WSx7nlFMMM38neKl9xpAj1Qfs3hTmRg9v5in7-Orsw-rNcP7-9dvVy_MhGi2XQYzOjsKSs4YckF3TpOQ4bsJGqLgGhKiVjoATATob18I5miYjHII1qIM6ZS8Ourv9ekub2I11E35X0zbUb76E5P_e5HTpL8oXj9IKiboLPL0RqOXzntrit6lFmueQqeybl6pDCMqYjj75B70q-5p7PC81YM-B2nVKHqhYS2uVplszAvyPjvyhI9878j878mM_evxnjNuTX6V0QB2A1lf5gurvv_8j-x1QMZuL</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Kakei, Yasumasa</creator><creator>Komatsu, Hirokazu</creator><creator>Minamikawa, Tsutomu</creator><creator>Hasegawa, Takumi</creator><creator>Teshima, Masanori</creator><creator>Shinomiya, Hirotaka</creator><creator>Otsuki, Naoki</creator><creator>Nibu, Ken-ichi</creator><creator>Akashi, Masaya</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5461-4871</orcidid></search><sort><creationdate>20200601</creationdate><title>Extent of neck dissection for patients with clinical N1 oral cancer</title><author>Kakei, Yasumasa ; Komatsu, Hirokazu ; Minamikawa, Tsutomu ; Hasegawa, Takumi ; Teshima, Masanori ; Shinomiya, Hirotaka ; Otsuki, Naoki ; Nibu, Ken-ichi ; Akashi, Masaya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-1896816e965e90e6bef3288dad13cb070c434c07fe0796cb199eff519706574a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cancer Research</topic><topic>Dissection</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - pathology</topic><topic>Mouth Neoplasms - surgery</topic><topic>Neck</topic><topic>Neck Dissection - methods</topic><topic>Neck Dissection - standards</topic><topic>Oncology</topic><topic>Oral cancer</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>Surgical Oncology</topic><topic>Tongue</topic><topic>Tongue Neoplasms - pathology</topic><topic>Tongue Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kakei, Yasumasa</creatorcontrib><creatorcontrib>Komatsu, Hirokazu</creatorcontrib><creatorcontrib>Minamikawa, Tsutomu</creatorcontrib><creatorcontrib>Hasegawa, Takumi</creatorcontrib><creatorcontrib>Teshima, Masanori</creatorcontrib><creatorcontrib>Shinomiya, Hirotaka</creatorcontrib><creatorcontrib>Otsuki, Naoki</creatorcontrib><creatorcontrib>Nibu, Ken-ichi</creatorcontrib><creatorcontrib>Akashi, Masaya</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kakei, Yasumasa</au><au>Komatsu, Hirokazu</au><au>Minamikawa, Tsutomu</au><au>Hasegawa, Takumi</au><au>Teshima, Masanori</au><au>Shinomiya, Hirotaka</au><au>Otsuki, Naoki</au><au>Nibu, Ken-ichi</au><au>Akashi, Masaya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extent of neck dissection for patients with clinical N1 oral cancer</atitle><jtitle>International journal of clinical oncology</jtitle><stitle>Int J Clin Oncol</stitle><addtitle>Int J Clin Oncol</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>25</volume><issue>6</issue><spage>1067</spage><epage>1071</epage><pages>1067-1071</pages><issn>1341-9625</issn><eissn>1437-7772</eissn><abstract>Background
No clear consensus has been reached on the indication of supraomohyoid neck dissection (SOHND) for clinically positive lymph-node metastasis.
Patients
Consecutive 100 patients with previously untreated oral cancer treated at Kobe University Hospital were included in this study. All patients were clinically staged as anyTN1M0 and underwent radical dissection of the primary site and level I–V neck dissection as the initial treatment.
Results
None of the 100 patients had pathological lymph-node metastasis (pLN) to level V. pLN to level IV was observed in two patients with tongue cancer in whom clinical lymph-node metastasis was preoperatively observed at level II.
Conclusions
Level V may be excluded in the neck dissection for patients with N1 oral cancers. Level IV dissection should be considered in the patient with tongue cancer and clinical lymph-node metastasis at level II.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>32140953</pmid><doi>10.1007/s10147-020-01635-8</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-5461-4871</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Cancer Research Dissection Female Humans Lymph Lymphatic Metastasis Male Medicine Medicine & Public Health Metastases Metastasis Middle Aged Mouth Neoplasms - pathology Mouth Neoplasms - surgery Neck Neck Dissection - methods Neck Dissection - standards Oncology Oral cancer Original Original Article Patients Surgical Oncology Tongue Tongue Neoplasms - pathology Tongue Neoplasms - surgery |
| title | Extent of neck dissection for patients with clinical N1 oral cancer |
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