Knothe J, Kessler L, Pocklitz G
Laryngol Rhinol Otol (Stuttg). 1979 Aug;58(8):635-9.
Only in about 17 per cent of 129 patients was elective radical neck dissection (RND) carried out in a seven-year-period from 1970 to 1976. In spite of clinical negative lymphatic-nodes-palpation-findings there were 10 observations of histological sured metastases from 22 patients. There occurred especially often tonsil-lateral larynx-entry-and tongue carcinoma of tumour stage T3 as primary localisation. Because of the high seize-rates in the resection-preparations we recommend inclusion of operation in so-called tumour findings more than before in treatment plan.
在1970年至1976年的七年期间，129例患者中只有约17%接受了选择性根治性颈清扫术（RND）。尽管临床触诊未发现淋巴结转移，但22例患者中有10例经组织学证实有转移。特别是肿瘤分期为T3的扁桃体、喉侧缘和舌癌作为原发部位的情况尤为常见。由于切除标本中的高转移率，我们建议在治疗计划中比以往更多地将手术纳入所谓的肿瘤发现中。
