Critical Appraisal of Watchful Waiting Policy in the Management of NO Neck of Advanced Laryngeal Carcinoma
1996; American Medical Association; Volume: 122; Issue: 7 Linguagem: Inglês
10.1001/archotol.1996.01890190038010
ISSN1538-361X
AutoresAnthony P.W. Yuen, WI Wei, S. H. W. Wong,
Tópico(s)Management of metastatic bone disease
ResumoObjective: To analyze the problem of nodal recurrence of NO neck advanced laryngeal carcinoma. Design: Retrospective analysis. Setting: Hospital referral center. Patients: One hundred thirty-three patients with cancer stages T3-T4, NO, MO who had total laryngectomy between January 1981 and December 1990. Main Outcome Measure: Nodal recurrence. Results: Of the 11 patients who had elective radical neck dissections, there was no nodal recurrence. Of the other 122 patients who had no elective neck dissection, 19 patients (16%) developed nodal recurrence and all nodal recurrence was at levels II, III, and IV. Twelve patients (63%) underwent salvage radical neck dissection for nodal recurrence and they had a 38% adjusted 5-year actuarial survival rate. Of these 122 patients who had no elective neck dissection for the NO neck, 12 patients (10%) eventually died of nodal recurrence. Conclusion: The watchful waiting policy is a satisfactory management option of NO neck of advanced laryngeal carcinoma. Arch Otolaryngol Head Neck Surg. 1996;122:742-745
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