Artikel
The strategy of bilateral surgical treatment in clinical negative lymph nodes neck in supraglottic carcinoma of larynx
Suche in Medline nach
Autoren
Veröffentlicht: | 4. April 2012 |
---|
Gliederung
Text
Objective: To investigate the surgical treatment methods of bilateral cN0 neck in supraglottiic carcinoma of larynx.
Method: Between 1998 and 2000, 32 cases of supraglottic carcinoma with bilateral cN0 necks were treated using ipsilateral selective neck dissection within level II and III during operation, after completing the dissection the specimens obtained were detected using frozen pathological test. If the lymph nodes were positive, the contralateral selective neck dissection within level II and III were conducted. If negative, the contralateral neck was follow-up.
Results: 11 of 32 cases of supraglottic carcinoma of larynx conducted bilateral neck dissections depended on the results of frozen pathologic tests. The bilateral neck dissections rate is 34.3% and the effective rate is 54.5%.
Conclusion: The neck dissection within level II and III could be used in cN0 necks of supraglottiic carcinoma of larynx. The strategy of contralateral selective neck dissection conducted depended on one side frozen pathological results can be used and provided us a good method.