A Clinical Study on Selective Neck Dissection.
- Author:
Min Sik KIM
1
;
Eun Ju JEON
;
Dong Il SUN
;
Seung Ho CHO
;
Byung Do SUH
Author Information
1. Department of Otolaryngology-HNS, Medical College, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Selective neck dissection;
Cervical lymph node metastasis
- MeSH:
Head and Neck Neoplasms;
Humans;
Laryngeal Neoplasms;
Larynx;
Lip;
Lymph Nodes;
Medical Records;
Neck Dissection*;
Neck*;
Neoplasm Metastasis;
Oropharynx;
Recurrence;
Thyroid Gland;
Tongue
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1997;40(8):1139-1146
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Selective neck dissection has been performed as a primary purpose of management for the lymph node groups that are at highest risk of containing metastasis according to the location of the primary tumor. OBJECTIVES: We were to evaluate the clinical application and effectiveness of selective neck dissection through analysis of the medical records about treatment results and postoperative recurrences. MATERIALS AND METHOD: The medical records of 61 patients who had 86 neck dissections performed at the Kangnam St. Mary's Hospital during the period of 1993 through 1995 were reviewed. RESULTS: Forty four selective neck dissections had been performed in 35 patients. Sites of primary tumor were 22 larynx cancers(62.9%), 5 thyroid cancers(14.3%), 4 tongue cancers(11.4%), 2 lip cancers(5.7%), 1 oropharynx cancer(2.9%) and 1 malignant melanoma(2.9%). The types of neck dissection were 29 lateral neck dissections(65.9%), 9 supraomohyoid neck dissections(19.2%), 5 anterior neck dissections(11.4%), and 1 posterolateral neck dissection(2.3%). Elective neck dissections were performed on 26 Cases(59.1%). Lymph nodes were histologically positive in 10 of 18 therapeutic neck Dissections(55.6%) and in 5 of 26 electeve neck dissections(19.2%). Recurrence in the dissected neck occured in two cases(4..5%) of selective neck dissections. Both of the two cases were larynx cancer, which developed concomitant primary and neck recurrence after lateral neck dissection. CONCLUSION: Selective neck dissection was effective approach to neck management of head and neck cancer patients.
