Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
 
REVIEW ARTICLE
Ahead of Print

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


1 Department of Surgical Oncology, HCG Cancer Center, Head and Neck Services, Karnataka, India
2 Department of ENT Head Neck Surgery, Jawaharlal Nehru Medical College, KLE University, Belgaum, India
3 Department of Surgical Oncology, St. John's Medical College, Bengaluru, Karnataka, India

Correspondence Address:
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
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None

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.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Rao VU
    -  Patil PH
    -  Rajaram B V
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed213    
    PDF Downloaded17    

Recommend this journal