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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorKOYAMA, Leonardo Kenji Sakaue-
dc.contributor.authorMATOS, Leandro Luongo-
dc.contributor.authorKULCSAR, Marco Aurelio Vamondes-
dc.contributor.authorARAUJO FILHO, Vergilius Jose Furtado de-
dc.contributor.authorCERNEA, Claudio Roberto-
dc.identifier.citationORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY HEAD AND NECK SURGERY, v.80, n.2, p.96-102, 2018-
dc.description.abstractIntroduction: Oral squamous cell carcinoma has a high incidence and, although elective neck dissection is recommended, the removed nodes frequently present without metastasis. This surgical approach causes disabilities and increases possible surgical complications. Objective: To evaluate the possibility of a watchful waiting approach in oral cancer. Methods: We compared 78 patients with clinical and pathological node metastases and their counterparts with pathological node metastases but without evident clinical neck disease. Therefore, we provided a theoretical comparison between the patients who had an elective neck dissection and those who waited until a clinically positive node was evident. Results: The prognostic factor rates were similar between the groups. Their regional recurrence and mortality rates had no statistical differences. Conclusion: A watchful waiting policy could be applied to selected oral cancer patients who can undergo a very close follow-up. This option would be more cost effective and less harmful than elective neck dissection. (C) 2018 S. Karger AG, Basel-
dc.relation.ispartofOrl-Journal for Oto-rhino-laryngology Head and Neck Surgery-
dc.subjectEpidermoid cancer-
dc.subjectHead and neck cancer-
dc.subjectOral carcinoma-
dc.subjectNeck dissection-
dc.subject.othersquamous-cell carcinoma-
dc.subject.otherlymph-node biopsy-
dc.subject.othertongue carcinoma-
dc.subject.otherregional failure-
dc.subject.othernegative neck-
dc.subject.othern0 neck-
dc.titleOral Cancer Treatment: Still an Indication for Elective Neck Dissection?-
dc.rights.holderCopyright KARGER-
dc.type.categoryoriginal article-
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Appears in Collections:

Artigos e Materiais de Revistas Científicas - FM/MCG
Departamento de Cirurgia - FM/MCG

Artigos e Materiais de Revistas Científicas - HC/ICESP
Instituto do Câncer do Estado de São Paulo - HC/ICESP

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/28
LIM/28 - Laboratório de Cirurgia Vascular e da Cabeça e Pescoço

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar

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