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[Indication and clinical radical effect of functional neck dissection for head and neck neoplasm]
Guo-Hao Wu1, Fu-jing Chen, Zong-yuan Zheng
1Department of Head and Neck Tumor Hospital, Sun Yat-sen University, Guangzhou 510060, P. R. China.
Background & Objective:
The functional neck dissection was first described by Bocca in 1967. It has been used on clinical practice for years. But still controversial between supporters and opponents of functional neck dissection. This study was designed to evaluate application and radical effectiveness of functional neck dissection(FND).
Methods:
One hundred and fifty-two cases underwent FND were reviewed with analysis of pathological specimen and follow-up data.
Result:
One hundred and fifty-two cases of FND include tongue carcinoma 20 cases, larynx carcinoma 23 cases, thyroid papillary adenocarcinoma 96 cases, follicular adenocarcinoma 9 cases, medullary adenocarcinoma 4 cases; Five years recurrence rate of tongue and larynx carcinoma was 12.5%, 14.3%, 40.0% and 20%, 16.7%, 50.0% in N0, N1, N2, respectively. 5 years recurrence rate of thyroid papillary adenocarcinoma is 6.5%, 7.1% in N1a, N1b, respectively.
Conclusion:
Functional neck dissection is suitable for head and neck neoplasm, was result in satisfactory radical effects.