Year : 2016 | Volume
: 12 | Issue : 3 | Page : 1114--1116
Management of the neck in early oral cancers: Is the verdict out?
Vishal U. S. Rao1, Prashant H Patil2, BV Rajaram3
1 Department of Surgical Oncology, HCG Cancer Center, Head and Neck Services, Bengaluru, Karnataka, India
2 Department of ENT-Head Neck Surgery, Jawaharlal Nehru Medical College, KLE University, Belgaum, Karnataka, India
3 Department of Surgical Oncology, St. John's Medical College, Bengaluru, Karnataka, India
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.
Vishal U. S. Rao
Department of Surgical Oncology, HCG Cancer Center, Head and Neck Services, #8 HCG Towers, P. Kalinga Rao Road, Sampangiram Nagar, Bengaluru - 560 078, Karnataka
|How to cite this article:|
Rao VU, Patil PH, Rajaram B V. Management of the neck in early oral cancers: Is the verdict out?.J Can Res Ther 2016;12:1114-1116
|How to cite this URL:|
Rao VU, Patil PH, Rajaram B V. Management of the neck in early oral cancers: Is the verdict out?. J Can Res Ther [serial online] 2016 [cited 2017 Apr 26 ];12:1114-1116
Available from: http://www.cancerjournal.net/article.asp?issn=0973-1482;year=2016;volume=12;issue=3;spage=1114;epage=1116;aulast=Rao;type=0