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Related Experiment Videos

Prophylactic neck irradiation.

D D Rabuzzi, C T Chung, R H Sagerman

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |August 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    External beam radiation therapy effectively treated subclinical cervical metastases in advanced head and neck cancers. This approach demonstrated a low rate of lymph node failure when used with wide-field radiation ports and primary lesion control.

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    Area of Science:

    • Oncology
    • Radiation Oncology
    • Head and Neck Surgery

    Background:

    • Management of subclinical cervical metastases in advanced head and neck squamous cell carcinomas is debated.
    • Treatment options include watchful waiting, elective neck surgery, and neck irradiation.
    • The concept of "sterilizing" the neck without clinical signs of metastasis is appealing.

    Purpose of the Study:

    • To evaluate the efficacy of external high-dose megavoltage radiation therapy for clinically negative necks in patients with advanced head and neck squamous cell carcinomas.
    • To assess the rate of lymph node failure following this treatment modality.

    Main Methods:

    • External high-dose megavoltage radiation therapy was administered to 152 patients.
    • Patients had clinically negative necks at presentation.

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  • Treatment was conducted between 1968 and 1977 at Upstate Medical Center.
  • Main Results:

    • Lymph node failures were observed in only 4% of patients.
    • This low failure rate was achieved when using wide-field radiation ports.
    • Successful control of the primary lesion was a prerequisite.

    Conclusions:

    • External high-dose megavoltage radiation therapy is an effective treatment for subclinical cervical metastases in advanced head and neck cancers.
    • Wide-field radiation ports and primary tumor control are crucial for minimizing lymph node failures.
    • This technique offers a viable alternative for managing clinically negative necks in these patients.