Tailored Neck Dissection for the Management of Radiotherapy-Resistant Nasopharygneal Carcinoma of the Neck
Background:This study was designed to evaluate the efficacy andsafety of tailored neck dissections based on preoperative image studies and intraoperativeexploration for the management of radiotherapy-resistant nasopharyngeal carcinoma ofthe neck.Methods : The study included 32 patients who failed radiotherapy fornasopharyngeal carcinoma of the neck and underwent a total of 36 tailored neckdissections. The patients’ clinical features, histopathologic characteristics, complications,and treatment outcome were estimated and analyzed.Results:Radical neck dissectionand modified radical neck dissection were performed on 15 and 21 necks, respectively.Twenty-five necks had multiple node metastases. Thirteen necks had node metastases at2 or more levels. The overall morbidity rate was 13.9％. The 5-year overall and diseasefree survival was 47.3％ and 33.9％, respectively. The 5-year neck control rate was76.9％.Conclusion:Tailored neck dissection is efficacious and safe for the managementof radiotherapy-resistant nasopharyngeal carcinoma of the neck.
Neck dissection, lymph node metastasis, recurrence, nasopharyngeal carcinoma, radiotherapy
Hanwei Peng Xihong Yang
Department of Head and Neck Surgery, Cancer Hospital of Shantou University Medical College, Shantou
国内会议
杭州
英文
122-132
2011-09-01（万方平台首次上网日期，不代表论文的发表时间）