Carvalho A L, Kowalski L P, Borges J A, Aguiar S, Magrin J
Department of Head and Neck Surgery and Otolaryngology, Centro de Tratamento e Pesquisa, Hospital do Câncer A. C. Camargo, São Paulo, Brazil.
Arch Otolaryngol Head Neck Surg. 2000 Mar;126(3):410-2. doi: 10.1001/archotol.126.3.410.
Retrospective analysis of a case series.
Referral center, private or institutional practice, hospitalized care.
To analyze the level (site) of ipsilateral neck recurrences after supraomohyoid (SOH) dissection in patients with lip, oral, and oropharyngeal cancer treated in a single institution.
Supraomohyoid neck dissection.
From 1979 to 1997, 154 patients with oral and oropharyngeal carcinoma and no palpable lymph nodes at the neck underwent ipsilateral elective SOH dissection.
Tumor sites were the lip, 5 cases (3.3%); oral cavity, 128 cases (83.1%); and oropharynx, 21 cases (13.6%). Tumor stages were T1, 13 cases (8.4%); T2, 77 cases (50.0%); T3, 40 cases (27.0%); and T4, 22 cases (14.3%). There were 7 cases (4.5%) of ipsilateral neck recurrences. Three were beyond the limits of the SOH dissection, and 4 were inside these limits. There was no association of neck recurrences with the pathological status of the lymph nodes. Six of the 7 recurrences were in patients who underwent postoperative radiotherapy.
The incidence of neck recurrence after selective neck dissection was 4.5%, and it occurred either inside (57.1%) or beyond (42.9%) the limits of the selective neck dissection.
病例系列的回顾性分析。
转诊中心、私立或机构性医疗实践、住院治疗。
分析在单一机构接受治疗的唇癌、口腔癌和口咽癌患者行肩胛舌骨肌上颈清扫术（SOH）后同侧颈部复发的水平（部位）。
肩胛舌骨肌上颈清扫术。
1979年至1997年，154例口腔和口咽癌患者，颈部未触及肿大淋巴结，接受同侧选择性SOH清扫术。
肿瘤部位为唇，5例（3.3%）；口腔，128例（83.1%）；口咽，21例（13.6%）。肿瘤分期为T1，13例（8.4%）；T2，77例（50.0%）；T3，40例（27.0%）；T4，22例（14.3%）。有7例（4.5%）同侧颈部复发。3例超出SOH清扫范围，4例在该范围内。颈部复发与淋巴结病理状态无关。7例复发中有6例发生在接受术后放疗的患者中。
选择性颈部清扫术后颈部复发率为4.5%，复发部位在选择性颈部清扫范围之内（57.1%）或之外（42.9%）。
