Management of the neck in early oral cancers: Is the verdict out?

Management of the neck in early oral cancers: Is the verdict out?

J Cancer Res Ther. 2016 Jul-Sep;12(3):1114-1116

Authors: Rao VU, Patil PH, Rajaram BV

Abstract
The management of patients with the clinically negative neck (N0) in early oral cancers awaits a clear mandate despite growing evidence favoring elective neck dissection. Having a general policy of operating all N0 neck may indeed increase the number of unnecessary neck dissection in the true pathological N0 necks, a more commonly encountered scenario. This controversy needs to be looked beyond statistical evidence to address a larger question to "does the neck truly harbor disease," thus, refining the early age old debate. This article highlights the feasibility of wait and watch policy, while elaborating a stringent algorithm to judiciously select patients in whom the neck may be safely observed.

PMID: 28054520 [PubMed - in process]

from #AlexandrosSfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2iiZaMN
via IFTTT