Planned Neck Dissectionの検討

DOI 参考文献29件
  • 松尾 美央子
    独立行政法人国立病院機構九州がんセンター頭頸科
  • 力丸 文秀
    独立行政法人国立病院機構九州がんセンター頭頸科
  • 檜垣 雄一郎
    独立行政法人国立病院機構九州がんセンター頭頸科
  • 冨田 吉信
    独立行政法人国立病院機構九州がんセンター臨床研究部

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タイトル別名
  • Clinical analysis of planned neck dissection

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We reviewed 58 cases of planned neck dissection after concurrent chemoradiotherapy. The rate of pathological lymph node-positive cases was 36%, and no difference was exhibited due to the primary site or the N stage. The recurrence rate was 39% and largely represented by T recurrence. The overall rate of N recurrence was 10% and since isolated N recurrence was only 3%, this demonstrates the efficacy of cervical control. The three year survival ratio was 81% and no difference was exhibited due to the primary site, the T stage, the N stage or the pN stage. Planned neck dissection was an appropriate therapy in light of the pathological lymph node-positive ratio, the high cervical control rate and survival ratio. A theme for future investigation is to identify the cases in which chemoradiotherapy alone can control the tumor and therefore enable a reduction in unnecessary planned neck dissection.

収録刊行物

  • 頭頸部外科

    頭頸部外科 21 (2), 175-180, 2011

    特定非営利活動法人 日本頭頸部外科学会

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