Ferlito Alfio, Rinaldo Alessandra, Silver Carl E, Gourin Christine G, Shah Jatin P, Clayman Gary L, Kowalski Luiz P, Shaha Ashok R, Robbins K Thomas, Suárez Carlos, Leemans C René, Ambrosch Petra, Medina Jesus E, Weber Randal S, Genden Eric M, Pellitteri Phillip K, Werner Jochen A, Myers Eugene N
Department of Surgical Sciences, ENT Clinic, University of Udine, Policlinico Universitario, Piazzale S. Maria della Misericordia, 33100 Udine, Italy.
Oral Oncol. 2006 Jan;42(1):14-25. doi: 10.1016/j.oraloncology.2005.03.009. Epub 2005 Jun 23.
Selective neck dissection is a modification of the more comprehensive modified radical or radical neck dissection that is designed to remove only those nodal levels considered to be at risk for harboring nodal metastases. The role of selective neck dissection continues to evolve: while initially designed as a staging and diagnostic procedure for patients without clinical evidence of nodal disease, a growing body of literature suggests that selective neck dissection has a therapeutic role in patients with clinical and histologic evidence of nodal metastases. The rationale behind selective neck dissection, its application in the clinically negative but histologically node-positive neck and the extended application of selective neck dissection in patients with clinical evidence of nodal disease are discussed.
选择性颈清扫术是对更为全面的改良根治性或根治性颈清扫术的一种改良，其设计目的是仅切除那些被认为有淋巴结转移风险的淋巴结区域。选择性颈清扫术的作用仍在不断演变：虽然最初是作为对无淋巴结疾病临床证据患者的分期和诊断程序设计的，但越来越多的文献表明，选择性颈清扫术在有淋巴结转移临床和组织学证据的患者中具有治疗作用。本文讨论了选择性颈清扫术背后的理论依据、其在临床阴性但组织学上淋巴结阳性颈部的应用以及在有淋巴结疾病临床证据患者中选择性颈清扫术的扩展应用。
