The evolving role of selective neck dissection for head and neck squamous cell carcinoma

@article{Robbins2012TheER,
  title={The evolving role of selective neck dissection for head and neck squamous cell carcinoma},
  author={Kevin Thomas Robbins and Alfio Ferlito and Jatin P. Shah and Marc Hamoir and Robert P. Takes and Primo{\vz} Strojan and Avi Khafif and Carl E. Silver and Alessandra Rinaldo and Jesus E Medina},
  journal={European Archives of Oto-Rhino-Laryngology},
  year={2012},
  volume={270},
  pages={1195-1202}
}
Neck dissection is an important part of the surgical treatment of head and neck squamous cell carcinoma (HNSCC). The historical concept of neck dissection implied the removal of all lymph node-bearing tissue in the neck, which began in the late nineteenth century. However, more conservative variations of neck dissection have been performed and promoted as well. Anatomic, pathologic, clinical investigations, and prospective studies have demonstrated that the lymphatic dissemination of HNSCC… 
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TLDR
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References

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Neck dissection: then and now.
Selective Neck Dissection in Node-Positive Squamous Cell Carcinoma of the Head and Neck
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TLDR
In a highly selected group of patients with cervical lymph node metastases from head and neck SCC, selective neck dissection is effective in controlling the disease in the neck when performed in the setting of a multimodality treatment, including adjuvant radiotherapy or radiochemotherapy.
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TLDR
These results support the use of selective neck dissection in carefully selected patients with clinically node-positive squamous cell carcinoma of the head and neck region, and show regional control rates comparable to those achieved with comprehensive operations can be achieved in appropriately selected patients.
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TLDR
NECK dissection, for treatment of cervical lymph node metastases in head and neck cancer, was conceived and attempted in the nineteenth century, with some limited success reported by the end of that era and evolved by the mid century into a fundamental tool in the management of patients with head and head cancer.
Neck dissection: past, present and future?
TLDR
In the future, sentinel lymph node biopsy and the use of molecular pathological analyses may be employed to predict the presence of occult cervical disease, thus directing therapy to patients at greatest risk and sparing those without regional metastasis.
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TLDR
The indication of a selective neck dissection including levels I-IV is oncologically safe for SCCs of the inferior mouth when level I is clinically compromised.
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TLDR
Preliminary studies indicate that it is safe and appropriate to eliminate dissection of sublevel IIB and level IV from the elective neck dissection performed for laryngeal cancer with N0 neck, which will reduce both operating time and morbidity, particularly accessory nerve dysfunction, without compromising the oncologic result.
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TLDR
SND may be a good option for treating node-positive necks in selected cases and observed that patients with pharyngeal SCC and older patients presented worse evolution and would probably not be suitable candidates for SND.
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TLDR
A retrospective review of the records of 501 previously untreated patients with squamous cell carcinoma of the oral cavity was undertaken to ascertain the prevalence of ipsilateral neck node metastases (NM) by neck level, and data support the trend toward selective limited neck dissection in both NO and N+ patients.
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