Surgical management of the neck in squamous cell carcinoma of the floor of the mouth

A. Zupi, L. Califano, G. M. Mangone, F. Longo, P. Piombino

Research output: Contribution to journalArticlepeer-review

Abstract

Nodal involvement in squamous cell carcinoma considerably lowers survival rate. Despite its importance, neck management has still not been adequately explored. The Authors have retrospectively reviewed the records of 112 cases. Unilateral N + were treated with a homolateral therapeutic and a controlateral prophylactic neck dissection; bilateral N+ were treated with a bilateral therapeutic neck dissection. On first observation the majority of cases (66.1%) were T1-2. N+ patients accounted for 45.5%. Among N- patients, 21.3% of occult nodal metastases were observed. The 5-year survival rate was 52.7%. With N+ lesions, a radical neck dissection should be performed; the dissection should be performed bilaterally. With N- lesions a prophylactic modified radical neck dissection is recommended in T2-4 lesions.

Original languageEnglish
Pages (from-to)472-475
Number of pages4
JournalOral Oncology
Volume34
Issue number6
DOIs
Publication statusPublished - Nov 1998

Keywords

  • Floor of the mouth
  • Neck dissection
  • Nodal metastases
  • Oral cancer

ASJC Scopus subject areas

  • Oncology

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