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[The treatment of tongue squamous cell with N0]
1Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China.
Objective:
To evaluate the validity of selective surgery for the N(0) neck in squamous cell carcinoma of the mobile tongue.
Methods:
116 patients with N(0) neck of the mobile tongue cancer who underwent comprehensive RND and 5 patients who had a selective RND were reviewed retrospectively.
Results:
According to the suggestion of division of neck level, 7 patients had metastasis at level I; 21, level II; 10, level III, 1 case for level IV or V each. There were 5 cases with level III involvement as a first echelon of metastasis which was peculiar for the neck metastasis of mobile tongue.
Conclusions:
For N(0) neck of the mobile tongue cancer, a neck dissection of level I-III or level I-IV is more than enough.