Ferlito A, Rinaldo A
Department of Otolaryngology-Head and Neck Surgery, University of Udine, Italy.
J Laryngol Otol. 1998 Nov;112(11):1031-3. doi: 10.1017/s0022215100142392.
The most important prognostic factor in cancer of the larynx is the presence of cervical metastatic disease, which is the most common type of recurrence in such patients. Because micrometastases cannot be detected pre-operatively at present, selective lateral neck dissection is increasingly recommended as the standard treatment for patients with a clinically negative neck in order to reduce the recurrence rate. In cases of N+ disease, selective lateral neck dissection can be as valid as modified radical neck dissection, providing patients have only limited, occult metastatic disease.
喉癌最重要的预后因素是存在颈部转移性疾病，这是此类患者最常见的复发类型。由于目前术前无法检测到微转移，越来越多的人推荐选择性侧颈清扫术作为颈部临床阴性患者的标准治疗方法，以降低复发率。在N+疾病的情况下，如果患者仅有有限的隐匿性转移性疾病，选择性侧颈清扫术与改良根治性颈清扫术一样有效。
