[Neck dissection-Surgical treatment of cervical lymphatic drainage pathways].

Abstract:

:Neck dissection (ND) is an essential component of treatment in head and neck squamous cell carcinoma (HNSCC). The extent of ND depends on primary tumor location and T and N stage. Trials have demonstrated improved survival for cN+ status with therapeutic ND as well as for cN0 status with selective ND if the primary has a high incidence of occult metastasis. The accuracy of the procedure is of prognostic relevance. In the prognostic model of the TNM classification, the parameter "N" does not only reflect the number of affected lymph nodes, but also their size and extranodal tumor extension. Due to its better prognosis, a positive human papillomavirus (HPV) status is also incorporated in the present TNM classification. In order to minimize morbidity after ND, one seeks to limit its extent without reducing survival time. To this aim, sentinel node biopsy or surveillance with positron-emission computed tomography (PET-CT) in cN0 necks or after primary radio(chemo)therapy are being investigated.

journal_name

HNO

journal_title

HNO

authors

Vahl JM,Hoffmann TK

doi

10.1007/s00106-018-0601-7

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

61-76

issue

1

eissn

0017-6192

issn

1433-0458

pii

10.1007/s00106-018-0601-7

journal_volume

67

pub_type

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