Author/Editor | Coskun, H. Hakan; Medina, Jesus E.; Robbins, K. Thomas; Silver, Carl E.; Strojan, Primož; Teymoortash, Afshin; Pellitteri, Phillip K.; Rodrigo, Juan P.; Stoeckli, Sandro J.; Shaha, Ashok R.; Suárez, Carlos; Hartl, Dana M.; De Bree, Remco; Takes, Robert P.; Hamoir, Marc; Pitman, Karen T.; Rinaldo, Alessandra; Ferlito, Alfio | |
Title | Current philosophy in the surgical management of neck metastases for head and neck squamous cell carcinoma | |
Type | članek | |
Vol. and No. | Letnik 37, št. 6 | |
Publication year | 2015 | |
Volume | str. 915-926 | |
ISSN | 1097-0347 - Head & neck | |
Language | eng | |
Abstract | Neck dissection is an important treatment for metastases from upper aerodigestive carcinoma; an event that markedly reduces survival. Since its inception, the philosophy of the procedure has undergone significant change from one of radicalism to the current conservative approach. Furthermore, non-surgical modalities have been introduced, and in many situations have supplanted neck surgery. The refinements of imaging the neck based on the concept of neck level involvement has encouraged new philosophies to evolve that appear to benefit patient outcomes particularly as this relates to diminished morbidity. This review is intended to highlight the new paradigms for surgical removal of neck metastases using an evidence based approach. | |
Keywords | ploščatocelični rak rak glave in vratu klinično negativni vrat klinično pozitivni vrat clinically negative neck clinically positive neck head and neck squamous cell carcinoma |