Article ; Online: Impact of cervical lymph node metastasis on transoral surgery for hypopharyngeal squamous cell carcinoma: A retrospective multicenter study.
2024
Abstract: Background: Hypopharyngeal carcinoma is likely to spread to the lymph nodes, but there is no established strategy for management in transoral surgery.: Methods: We compared oncologic and functional outcomes in a retrospective multicenter study of ... ...
Abstract | Background: Hypopharyngeal carcinoma is likely to spread to the lymph nodes, but there is no established strategy for management in transoral surgery. Methods: We compared oncologic and functional outcomes in a retrospective multicenter study of patients who underwent transoral surgery for hypopharyngeal carcinoma between 2015 and 2021. Results: Two-hundred and thirty-two patients were included. Comparing patients with and without adjuvant radiotherapy, 3-year regional recurrence-free survival (RRFS) was not significantly different in pN2b and pN2c, but was significantly worse in pN3b without adjuvant radiotherapy. In patients without neck dissection, the 3-year RRFS was 85.6%, 76.8%, and 70.0% for T1, T2, and T3 primary lesions, respectively, and was significantly worse for T2 or higher (p = 0.035). Conclusions: In the absence of extracapsular invasion, regional control did not deteriorate without adjuvant therapy. If prophylactic neck dissection is not performed, careful follow-up is necessary if the primary lesion is T2 or greater. |
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Language | English |
Publishing date | 2024-01-31 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 645165-2 |
ISSN | 1097-0347 ; 0148-6403 ; 1043-3074 |
ISSN (online) | 1097-0347 |
ISSN | 0148-6403 ; 1043-3074 |
DOI | 10.1002/hed.27666 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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