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  • Title: [Cervical management in the N0 squamous cell carcinoma of the tongue].
    Author: Wu Y, Tu G, Tang P.
    Journal: Zhonghua Kou Qiang Yi Xue Za Zhi; 1999 Jul; 34(4):199-201. PubMed ID: 11776903.
    Abstract:
    OBJECTIVE: To assess whether the elective neck dissection would be beneficial as a routine management in the N0 squamous cell carcinoma of the tongue. METHODS: Cox regression model was used for analysis of tongue cancer cases treated by our hospital in a period from 1958 to 1996. RESULTS: Size of primary tumor and preoperative radiation showed significant difference in relation to cervical lymph node recurrence or metastasis. Neck dissection in the series was not a factor to influence the rate of cervical recurrence or survival. 5-years survival was 73.5% versus 69.3% in patients who underwent elective neck dissection and those without neck dissection (difference not statistically significant). CONCLUSION: We suggest that elective neck dissection would be avoided in T1 or T2 patients who have no neck node metastases.
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