Elective neck dissection in oral carcinoma: a critical review of the evidence.

@article{Kowalski2007ElectiveND,
  title={Elective neck dissection in oral carcinoma: a critical review of the evidence.},
  author={Luiz Paulo Kowalski and Alvaro Sanabria},
  journal={Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale},
  year={2007},
  volume={27 3},
  pages={113-7}
}
More than 50% of patients with squamous cell carcinoma of the oral cavity have lymph node metastases and histological confirmation of metastatic disease is the most important prognostic factor. Among patients with a clinically negative neck, the incidence of occult metastases varies with the site, size and thickness of the primary tumour. The high incidence rate of occult cervical metastases (> 20%) in tumours of the lower part of the oral cavity is the main argument in favour of elective… CONTINUE READING