Elective neck dissection for the management of the N0 neck in early cancer of the oral tongue: Need for a randomized controlled trial
作者： Anil K. D'Cruz , Ravichand C. Siddachari , Rohan R. Walvekar , Gouri H. Pantvaidya , Devendra A. Chaukar
DOI: 10.1002/HED.20988
关键词: Dissection 、 Elective Surgical Procedure 、 Medicine 、 Tongue 、 Retrospective cohort study 、 Randomized controlled trial 、 Neck dissection 、 Survival analysis 、 Surgery 、 Perineural invasion
摘要: Background The aim of this study is to determine the need for a randomized controlled trial in order define role an elective neck dissection (END) treatment early tongue cancers. Methods We present large retrospective analysis patients with T1-2 N0 squamous cell cancers oral anterior treated at single institution. A total 359 eligible were divided into 2 groups: END and wait watch (WW). An survival outcomes prognostic factors was conducted. Results The estimated 3- 5-year disease-free group 76% 74% versus 71% 68% WW group, respectively (p = .53). The overall (OS) rate 69% 60% 62% .24). Tumor grade perineural invasion independent predictors recurrence. Conclusion END did not impact or OS. Current literature still remains on issue emphasizing trial. © 2009 Wiley Periodicals, Inc. Head Neck
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