Elective Neck Dissection for cT1-4 N0M0 Head and Neck Verrucous Carcinoma.
National Cancer Database
head and neck cancer
neck dissection
occult
verrucous carcinoma
Journal
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
ISSN: 1097-6817
Titre abrégé: Otolaryngol Head Neck Surg
Pays: England
ID NLM: 8508176
Informations de publication
Date de publication:
11 2023
11 2023
Historique:
revised:
21
04
2023
received:
20
12
2022
accepted:
29
04
2023
medline:
26
10
2023
pubmed:
6
6
2023
entrez:
6
6
2023
Statut:
ppublish
Résumé
To investigate the survival benefit of elective neck dissection (END) over neck observation in cT1-4 N0M0 head and neck verrucous carcinoma (HNVC). Retrospective cohort study. The 2006 to 2017 National Cancer Database. Patients with surgically resected cT1-4 N0M0 HNVC were selected. Linear, binary logistic, Kaplan-Meier, and Cox proportional hazards regression models were utilized. Of 1015 patients satisfying inclusion criteria, 223 (22.0%) underwent END. The majority of patients were male (55.4%) and white (91.0%) with disease of the oral cavity (67.6%) classified as low grade (90.0%) and cT1-2 (81.8%). The minority of ENDs (4.0%) detected occult nodal metastases. The rate of END increased from 2006 to 2017 for both cT1-2 (16.3% vs 22.0%, p = .126, R END does not confer an appreciable survival benefit in HNVC, even after stratifying univariate and multivariate analyses by several patient, facility, tumor, and treatment characteristics. Level 4.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1187-1199Informations de copyright
© 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation.
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