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Radical neck dissection: is it enough?
W B Farrar1, W R Finkelmeier, D P McCabe
1Department of Surgery, Ohio State University College of Medicine, Columbus 43210-1228.
American Journal of Surgery
|September 1, 1988
Summary
Radical neck dissection for neck disease showed a 19% recurrence rate. Adjuvant radiotherapy after surgery is recommended to improve survival and reduce recurrence, especially with extranodal disease.
Area of Science:
- Oncology
- Surgical Oncology
- Head and Neck Cancer
Background:
- Radical neck dissection (RND) is a standard surgical procedure for head and neck cancers.
- Recurrence rates after RND alone can be significant, impacting patient survival.
- The role of adjuvant therapy in improving outcomes post-RND requires further investigation.
Purpose of the Study:
- To evaluate the recurrence rates and survival outcomes following radical neck dissection.
- To identify prognostic factors influencing recurrence and survival.
- To assess the effectiveness of adjuvant radiotherapy in reducing recurrence after RND.
Main Methods:
- Retrospective analysis of 307 patients who underwent radical neck dissection.
- Correlation of clinical staging and extranodal disease with recurrence and survival.
- Comparison of recurrence rates with historical data and adjuvant radiotherapy outcomes.
Main Results:
- Overall recurrence rate of 19% after radical neck dissection.
- Clinical staging accurately predicted recurrence and survival.
- Extranodal disease significantly increased recurrence and decreased survival.
- Recurrence rates were lower than previously reported for surgery alone but higher than with adjuvant radiotherapy.
Conclusions:
- Histologically proven neck disease warrants radical neck dissection.
- Adjuvant radiotherapy following radical neck dissection is recommended to decrease recurrence.
- Adjuvant radiotherapy may improve survival outcomes in patients treated for neck disease.