Robbins K T
Department of Otolaryngology/Head and Neck Surgery, University of Tennessee, Memphis, USA.
Oncology (Williston Park). 2000 Oct;14(10):1455-64; discussion 1467-9.
Selective neck dissection is a procedure that is primarily indicated in patients with clinically negative nodal disease in which there is a high risk of occult metastases. Others have advocated its use for patients with positive nodes, although under very specific circumstances and in combination with postoperative radiation therapy. The type of selective neck dissection performed varies according to the site of the primary, because the pattern of metastases is unique in each case. This review presents the author's philosophy on when, how, and why to employ the procedure, based on the location of primary cancers at oral, pharyngeal, laryngeal, cutaneous, thyroid, and salivary gland sites.
选择性颈清扫术主要适用于临床淋巴结阴性但隐匿性转移风险高的患者。也有其他人主张在非常特定的情况下并结合术后放疗，将其用于淋巴结阳性的患者。所进行的选择性颈清扫术的类型因原发部位而异，因为每种情况下转移模式都是独特的。本综述基于口腔、咽、喉、皮肤、甲状腺和唾液腺部位原发性癌症的位置，阐述了作者关于何时、如何以及为何采用该手术的观点。
