Extent of neck dissection after transoral robotic surgical resection of oropharyngeal squamous cell carcinoma: Report of a case and potential indications for inclusion of level I in a selective neck dissection

Head & Neck ◽  
2015 ◽  
Vol 37 (10) ◽  
pp. E130-E133 ◽  
Author(s):  
Christopher W. Noel ◽  
Andrew Foreman ◽  
David P. Goldstein ◽  
John R. de Almeida
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Surgical Resection ◽  
Squamous Cell ◽  
Oropharyngeal Squamous Cell Carcinoma ◽  
Selective Neck Dissection ◽  
Level I

scholarly journals Choice of Levels in Selective Neck Dissection and Its Impact On Regional Control and Survival in 661 Patients With Head and Neck Squamous Cell Carcinoma

2021 ◽  
Author(s):  
Mattis Bertlich ◽  
Nina Zeller ◽  
Saskia Freytag ◽  
Bernhard G. Weiss ◽  
Martin Canis ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Head And Neck ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Primary Treatment ◽  
Selective Neck Dissection ◽  
Regional Control ◽  
Level I

Abstract Background: Selective Neck Dissection (SND) is the surgical treatment of choice in suspected or manifest nodal positive squamous cell carcinoma of the head and neck (HNSCC). For SND to be successful, treated levels should be selected accordingly. Aim of this study was to identify neck dissection levels that had an impact on the individual prognosis.Methods: We conducted a retrospective review of SND as part of primary treatment of HNSCC. Overall survival (OS) and regional control rates (RCR) were calculated for all patients.Results: 661 patients with HNSCC were included, 644 underwent ipsilateral and 319 contralateral SND. Average follow up was 78.9 ± 106.4 months. 67 (10.1%) patients eventually developed nodal recurrence. Tumor sites were oral cavity (135), oropharynx (179), hypopharynx (118) and larynx (229). Tumor categories pT1 – pT4a, and all clinical and pathological nodal categories were included. Multivariate analysis indicated improved OS rates for patients undergoing SND in ipsilateral levels I and V as well as level III contralaterally. Analysis for tumor origin showed that SND in ipsilateral level I showed a significantly improved OS in HNSCC of the oral cavity.Conclusion: In HNSCC of the oral cavity, ipsilateral level I needs to be included when performing SND.

scholarly journals Hemiglosectomy with selective neck dissection in squamous cell carcinoma at tongue

2016 ◽  
Vol 1 (2) ◽  
pp. 287
Author(s):  
Abul Fauzi ◽  
Andri Hardianto ◽  
Rahmat Wariz
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Selective Neck Dissection ◽  
Biopsy Result ◽  
Chief Complaints ◽  
Level I ◽  
Well Differentiated ◽  
Incision Biopsy

<p>Squamous Cell Carcinoma (SCC) is common is a malignant neoplasma originated from epithelial cells. It is usually involving the oral mucosa and underlying tissue of the tongue, hypopharynx, and also larynx. This report discussed about the management of SCC at tongue with hemiglosectomy and selective neck dissection managed in a male, 57 years old who referred with chief complaints of a mass on the tongue measuring 0.5cm that did not heal, Incision biopsy result confirms a squamous cell carcinoma with well differentiated on his tongue with enlarged lymph nodes level I ipsilateral. The patient was hospitalized and hemiglosectomy surgery with selective neck dissection was conducted, with the entire edge of the excision boundary has been free of tumor mass. Hemiglosectomy with selective neck dissection is selected depending on the size of the lesion, location of lesion and metastases occurrence.</p>

Level I dissection for laryngeal and hypopharyngeal cancer: is it indicated?

1998 ◽  
Vol 112 (5) ◽  
pp. 438-440 ◽  
Author(s):  
Alfio Ferlito ◽  
Alessandra Rinaldo
Keyword(s):  
At Risk ◽  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Hypopharyngeal Cancer ◽  
Selective Neck Dissection ◽  
Cervical Lymph Nodes ◽  
Carcinoma Of The Larynx ◽  
Level I

AbstractSquamous cell carcinoma of the larynx and hypopharynx tends to metastasize frequently to cervical lymph nodes, the location of which depends mainly on the site of the primary lesion. Five anatomical levels of cervical nodes have consequently been defined to standardize the terminology used to describe which lymph node groups are at risk for metastatic spread. Level I includes the submental and submandibular triangles. This review considers the role of these triangles in neck dissection and concludes that, unless there is clear evidence of spread, the inclusion of the level I triangles in the neck dissection is unwarranted since these nodes are not really at risk. There is therefore an important role for selective neck dissection in suitable cases of squamous cell carcinoma of the larynx and hypopharynx.

scholarly journals Hemiglosectomy with selective neck dissection in squamous cell carcinoma at tongue

2016 ◽  
Vol 1 (2) ◽  
pp. 139
Author(s):  
Abul Fauzi ◽  
Andri Hardianto ◽  
Rahmat Wariz
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Selective Neck Dissection ◽  
Biopsy Result ◽  
Chief Complaints ◽  
Level I ◽  
Well Differentiated ◽  
Incision Biopsy

Squamous Cell Carcinoma (SCC) is common is a malignant neoplasma originated from epithelial cells. It is usually involving the oral mucosa and underlying tissue of the tongue, hypopharynx, and also larynx. This report discussed about the management of SCC at tongue with hemiglosectomy and selective neck dissection managed in a male, 57 years old who referred with chief complaints of a mass on the tongue measuring 0.5cm that did not heal, Incision biopsy result confirms a squamous cell carcinoma with well differentiated on his tongue with enlarged lymph nodes level I ipsilateral. The patient was hospitalized and hemiglosectomy surgery with selective neck dissection was conducted, with the entire edge of the excision boundary has been free of tumor mass. Hemiglosectomy with selective neck dissection is selected depending on the size of the lesion, location of lesion and metastases occurrence.

Oncologic outcomes of selective neck dissection in HPV-related oropharyngeal squamous cell carcinoma

2016 ◽  
Vol 127 (3) ◽  
pp. 623-630 ◽  
Author(s):  
Joseph Zenga ◽  
Ryan S. Jackson ◽  
Evan M. Graboyes ◽  
Parul Sinha ◽  
Miranda Lindberg ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Neck Dissection ◽  
Squamous Cell ◽  
Oropharyngeal Squamous Cell Carcinoma ◽  
Oncologic Outcomes ◽  
Selective Neck Dissection
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