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Influence of initial neck node biopsy on the incidence of recurrence in the neck and survival in patients who subsequently undergo curative resectional surgery
Author(s) -
Razack Mohamed S.,
Sako Kumao,
Marchetta Frank C.
Publication year - 1977
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930090405
Subject(s) - medicine , incidence (geometry) , surgery , biopsy , head and neck , stage (stratigraphy) , epidermoid carcinoma , basal cell , radiology , paleontology , physics , biology , optics
During a period of 23 years, 57 patients who had an initial neck node biopsy elsewhere, with the diagnosis of metastatic squamous cell carcinoma established, underwent curative resection by our department after the site of head and neck primary was found. Ten patients free of disease died of other causes, leaving 47 patients who were eligible for at least 3 years of follow‐up. Nineteen patients are aliye after 3 or more years. The incidence of recurrence in the neck was 57% (27/47). The 3‐year survival in this group of Stage III was 40% (19/47) and 5‐year survival was 34% (16/47). Compared with historical data, it appears from the present study that a previous biopsy of a neck node did not adversely affect the incidence either of neck recurrence or survival when appropriate surgery is performed.