Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center
Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profil...
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| Autor*in: |
Deo, S. V. S. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2012 |
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| Schlagwörter: |
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| Anmerkung: |
© Indian Association of Surgical Oncology 2012 |
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| Übergeordnetes Werk: |
Enthalten in: Indian Journal of Surgical Oncology - Springer-Verlag, 2010, 3(2012), 4 vom: 11. Aug., Seite 272-275 |
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| Übergeordnetes Werk: |
volume:3 ; year:2012 ; number:4 ; day:11 ; month:08 ; pages:272-275 |
| Links: |
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| DOI / URN: |
10.1007/s13193-012-0173-z |
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| 520 | |a Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. | ||
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10.1007/s13193-012-0173-z doi (DE-627)SPR03079918X (SPR)s13193-012-0173-z-e DE-627 ger DE-627 rakwb eng Deo, S. V. S. verfasserin aut Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2012 Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. Oral cancer (dpeaa)DE-He213 Node assessment (dpeaa)DE-He213 Neck node dissection (dpeaa)DE-He213 Shukla, N. K. aut Jha, Deepak aut Khanna, Paras aut Pandit, Archit aut Thulkar, Sanjay aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 3(2012), 4 vom: 11. Aug., Seite 272-275 (DE-627)SPR030797241 nnns volume:3 year:2012 number:4 day:11 month:08 pages:272-275 https://dx.doi.org/10.1007/s13193-012-0173-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 3 2012 4 11 08 272-275 |
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10.1007/s13193-012-0173-z doi (DE-627)SPR03079918X (SPR)s13193-012-0173-z-e DE-627 ger DE-627 rakwb eng Deo, S. V. S. verfasserin aut Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2012 Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. Oral cancer (dpeaa)DE-He213 Node assessment (dpeaa)DE-He213 Neck node dissection (dpeaa)DE-He213 Shukla, N. K. aut Jha, Deepak aut Khanna, Paras aut Pandit, Archit aut Thulkar, Sanjay aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 3(2012), 4 vom: 11. Aug., Seite 272-275 (DE-627)SPR030797241 nnns volume:3 year:2012 number:4 day:11 month:08 pages:272-275 https://dx.doi.org/10.1007/s13193-012-0173-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 3 2012 4 11 08 272-275 |
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10.1007/s13193-012-0173-z doi (DE-627)SPR03079918X (SPR)s13193-012-0173-z-e DE-627 ger DE-627 rakwb eng Deo, S. V. S. verfasserin aut Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2012 Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. Oral cancer (dpeaa)DE-He213 Node assessment (dpeaa)DE-He213 Neck node dissection (dpeaa)DE-He213 Shukla, N. K. aut Jha, Deepak aut Khanna, Paras aut Pandit, Archit aut Thulkar, Sanjay aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 3(2012), 4 vom: 11. Aug., Seite 272-275 (DE-627)SPR030797241 nnns volume:3 year:2012 number:4 day:11 month:08 pages:272-275 https://dx.doi.org/10.1007/s13193-012-0173-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 3 2012 4 11 08 272-275 |
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10.1007/s13193-012-0173-z doi (DE-627)SPR03079918X (SPR)s13193-012-0173-z-e DE-627 ger DE-627 rakwb eng Deo, S. V. S. verfasserin aut Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2012 Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. Oral cancer (dpeaa)DE-He213 Node assessment (dpeaa)DE-He213 Neck node dissection (dpeaa)DE-He213 Shukla, N. K. aut Jha, Deepak aut Khanna, Paras aut Pandit, Archit aut Thulkar, Sanjay aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 3(2012), 4 vom: 11. Aug., Seite 272-275 (DE-627)SPR030797241 nnns volume:3 year:2012 number:4 day:11 month:08 pages:272-275 https://dx.doi.org/10.1007/s13193-012-0173-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 3 2012 4 11 08 272-275 |
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10.1007/s13193-012-0173-z doi (DE-627)SPR03079918X (SPR)s13193-012-0173-z-e DE-627 ger DE-627 rakwb eng Deo, S. V. S. verfasserin aut Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Indian Association of Surgical Oncology 2012 Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. Oral cancer (dpeaa)DE-He213 Node assessment (dpeaa)DE-He213 Neck node dissection (dpeaa)DE-He213 Shukla, N. K. aut Jha, Deepak aut Khanna, Paras aut Pandit, Archit aut Thulkar, Sanjay aut Enthalten in Indian Journal of Surgical Oncology Springer-Verlag, 2010 3(2012), 4 vom: 11. Aug., Seite 272-275 (DE-627)SPR030797241 nnns volume:3 year:2012 number:4 day:11 month:08 pages:272-275 https://dx.doi.org/10.1007/s13193-012-0173-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 3 2012 4 11 08 272-275 |
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Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center |
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Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. © Indian Association of Surgical Oncology 2012 |
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Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. © Indian Association of Surgical Oncology 2012 |
| abstract_unstemmed |
Abstract Oral cancer is one of the most common types of cancer seen in India with buccal and alveolo buccal regions being the most frequent subsites. A retrospective analysis of buccal and alveolo buccal cancer patients undergoing neck dissection from 1995 to 2009 was performed to analyze the profile of neck dissections and patterns of nodal involvement in these patients. Total 310 neck dissections were done for buccal and alveolo-buccal cancer including 41 (13.2 %) RND, 231(74.5 %) MND and 38 (12.2 %) Supraomohyoid neck dissection (SOHND). Clinically palpable nodes were present in 75.9 % patients but only 117 (38 %) were pathologically node positive. 20 % had occult positive nodes in N0 group. Level I was most commonly involved with 35 % having positive nodes in more than one level. There were no patients with isolated involvement of level IV or V with only 3.9 % patients with involvement of level III. Current guidelines recommend neck dissection in all clinically node positive patients. However, our experience shows that neck is over treated in majority of patients and there is a need to optimize surgical management of neck in these patients. © Indian Association of Surgical Oncology 2012 |
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Are We Over-treating Neck in Buccal & Alveolo-buccal Cancers: Experience from a Tertiary Cancer Care Center |
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Shukla, N. K. Jha, Deepak Khanna, Paras Pandit, Archit Thulkar, Sanjay |
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