Preservation of function by radiotherapy of small primary carcinomas preceded by neck dissection for extensive nodal metastases of the head and neck

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dc.contributor.authorVerschuur H.P.
dc.contributor.authorKeus R.B.
dc.contributor.authorHilgers F.J.M.
dc.contributor.authorBalm A.J.M.
dc.contributor.authorTheo Gregor R.
dc.date.accessioned2011-05-15T16:16:30Z
dc.date.available2011-05-15T16:16:30Z
dc.date.issued1996
dc.description.abstractBackground. When patients are initially seen with a small primary tumor and regional metastases, the question arises whether the primary can be managed by definitive radiotherapy while treating the neck with surgery and postoperative radiation. The advantage of this is least disturbance of the primary site, while still achieving maximal control of the neck disease. Method. A retrospective review was conducted over an 8-year period; of the 619 patients seen during this time, 15 were judged suitable for this approach. Small primaries were defined as T1 or T2 lesions or superficial spreading T3 tumors. Extensive neck disease was defined as at least 3 cm in size. Results. There were no regional recurrences and only 3 local recurrences, 2 of which were successfully salvaged. Four patients died of distant metastases. The arguments for and against this unusual approach are discussed. Conclusions. It is concluded that, in patients conforming to our criteria, this is a sound oncologic approach.
dc.description.versionArticle
dc.identifier.citationHead and Neck
dc.identifier.citation18
dc.identifier.citation3
dc.identifier.issn01486403
dc.identifier.urihttp://hdl.handle.net/10019.1/13809
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectcancer radiotherapy
dc.subjectcancer staging
dc.subjectcervical lymph node
dc.subjectclinical article
dc.subjectfemale
dc.subjectfunctional assessment
dc.subjecthead and neck carcinoma
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectlymph node metastasis
dc.subjectmale
dc.subjectneck dissection
dc.subjectpreoperative treatment
dc.subjectpriority journal
dc.subjectsurvival rate
dc.subjecttreatment outcome
dc.subjectAdult
dc.subjectAged
dc.subjectCarcinoma, Squamous Cell
dc.subjectDisease-Free Survival
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHead and Neck Neoplasms
dc.subjectHumans
dc.subjectHypopharyngeal Neoplasms
dc.subjectLaryngeal Neoplasms
dc.subjectLymphatic Metastasis
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectNeck Dissection
dc.subjectNeoplasm Recurrence, Local
dc.subjectNeoplasm Staging
dc.subjectOropharyngeal Neoplasms
dc.subjectRadiotherapy Dosage
dc.subjectRadiotherapy, Adjuvant
dc.subjectRetrospective Studies
dc.subjectSalvage Therapy
dc.subjectSurvival Rate
dc.titlePreservation of function by radiotherapy of small primary carcinomas preceded by neck dissection for extensive nodal metastases of the head and neck
dc.typeArticle
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