Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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NECK DISSECTION OF CLINICALLY NO NECK OF ORAL SQUAMOUS CELL CARCINOMA & PATHOLOGIC COMPARISON

구강편평세포암종에서 임상적 N0 경부의 경부 곽청술 후 병리학적인 비교

  • Kang, Jin-Han (Dept. of Dentistry, Hangang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Ahn, Kang-Min (Dept. of Oral & Maxillofacial Surgery, Seoul Asan Medical Center, College of Medicine, Ulsan University) ;
  • Lee, Sang-Woo (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Myoung, Hoon (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Lee, Jong-Ho (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Seoul National University)
  • 강진한 (한림대학교 의과대학 한강성심병원 치과) ;
  • 안강민 (울산대학교의과대학 서울아산병원 구강악안면외과) ;
  • 이상우 (서울대학교 치과대학 구강악안면외과) ;
  • 명훈 (서울대학교 치과대학 구강악안면외과) ;
  • 이종호 (서울대학교 치과대학 구강악안면외과) ;
  • 김명진 (서울대학교 치과대학 구강악안면외과)
  • Published : 2007.12.31
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Abstract

Neck node metastasis of oral cancer can be diagnosed by bimanual palpation, CT, MRI and neck sonography and the final diagnosis can be confirmed by pathologic evaluation of the neck nodes after elective neck dissection. When we meet clinically negative neck node(N0 neck) of oral squamous cell carcinoma, the treatment modality of the neck nodes with the primary lesions are so controversial. The usually used methods are various from close observation to elective radiation and elective neck dissection. The methods can be chosen by the primary size of the carcinoma, site of the lesions and the expected percentage of the occult metastasis to the neck. We reviewed the 86 patients from 1996 to 2006 who were diagnosed as oral squamous cell carcinoma, whose necks were diagnosed negative in radiographically and clinically. According to TNM stage, the patients were in the states of N0 and treated by surgery using mass excision and elective neck dissection. We compared the differences between the clinical diagnoses and pathologic reports and would discuss the needs for elective neck dissection.

Keywords

References

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