지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 139 - 144 (6page)
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Purpose: The treatment of a clinically node-positive (cN+) neck is important in the management of oral cavity squamous cell carcinoma (OSCC). However, the extent of neck dissection (ND) remains controversial. The purpose of our study was to evaluate whether level IV or V can be excluded in therapeutic ND for cN+ OSCC patients. Materials and Methods: We performed a retrospective chart review of 92 patients who underwent a comprehensive or selective ND as a therapeutic treatment of cN+ OSCC from January 1993 to February 2009. Results: The incidence rate of metastasis to level IV or V was 22% (16 of 72) on the ipsilateral neck. Of 67 cases without clinically suspicious nodes at level IV or V, 11 cases (16%, 11 of 67) had pathologically proven lymphatic metastasis to level IV or V. Only a nodal staging above N2b was significantly relevant with the higher rate of level IV or V lymph node metastasis (p=0.025). In this series, selective ND, combined with proper adjuvant therapy, achieved regional control and survival rates comparable to comprehensive ND in patients under the N stage of cN2a OSCC. Conclusion: In conclusion, level IV and V patients can avoid recurrence under cN2a OSCC.
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참고문헌 (23)
참고문헌 신청
Ambrosch P / 2001 / Efficacy of selective neck dissection: a review of 503 cases of elective and therapeutic treatment of the neck in squamous cell carcinoma of the upper aer
Crumley RL / 1976 / Postoperative chylous fistula prevention and management / Laryngoscope 86 : 804 ~ 813
Davidson BJ / 1993 / Posterior triangle metastases of squamous cell carcinoma of the upper aerodigestive tract / Am J Surg 166 : 395 ~ 398
Dijkstra PU / 2001 / Incidence of shoulder pain after neck dissection: a clinical explorative study for risk factors / Head Neck 23 : 947 ~ 953
Ferlito A / 2006 / Elective and therapeutic selective neck dissection / Oral Oncol 42 : 14 ~ 25
Crumley RL / 1976 / Postoperative chylous fistula prevention and management / Laryngoscope 86 : 804 ~ 813
Davidson BJ / 1993 / Posterior triangle metastases of squamous cell carcinoma of the upper aerodigestive tract / Am J Surg 166 : 395 ~ 398
Dijkstra PU / 2001 / Incidence of shoulder pain after neck dissection: a clinical explorative study for risk factors / Head Neck 23 : 947 ~ 953
Ferlito A / 2006 / Elective and therapeutic selective neck dissection / Oral Oncol 42 : 14 ~ 25
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