The author in a study of 667 patients submitted to unilateral or bilateral radical neck dissection presents a critical analysis of clinical palpatory and histopathological methods in the evaluation of the metastatical lymph nodes in head and neck cancer. The advantages of the last one are pointed out showing the real prognostic value of the histopathological metastases.
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References
1.
AckermanL. V.Del RegatoJ. A.: Cancer diagnosis, treatment and prognosis.C. V. Mosby Co., St. Louis, 1947.
2.
BarbosaJ. F.Andrade SobrinhoJ.FaccioC. H.: Os Esvaziamentos Cervicais.Fundo Editorial Procienx, Brasil, 1962.
3.
BeharsO. H.: Radical dissection of structures of the neck: how radical should it be. J.A.M.A., 157: 794–798, 1955.
4.
BeharsO. H.BarberK. W.: The value of radical dissection of structures of the neck in the management of carcinoma of the lip, mouth and larynx. Arch. Surg., 85: 49–56, 1962.
5.
BeharsO. H.DevineK. D.HensonS. W.Jr.: Treatment of carcinoma of the tongue. End. Results in one hundred sixty eight cases. Arch. Surg., 79: 399–401, 1959.
6.
BlachwellD.: Basic statistics.Mc Garw Hill Co., New York, 1969.
7.
BucalossiP.BastosJ.: Trattamento dos gânglios linfáticos nos doentes com tumores malígnos da cavidade oral. Arq. Pat., 13: 337–348, 1941.
8.
CrileG.: Excision of cancer of the head and neck with special to PX an of dissection based on 132 operations. J.A.M.A., 47: 1780–1786, 1906.
9.
DargentM.: Que vaut l'évidement dit « prophylatique » du cou dans le traitement des cancers de la cavité buccale. Presse Med., 61: 165–168, 1955.
10.
DuffyJ. J.: Treatment of cervical nodes in intra-oral cancer. Surg. Gynec. Obstet., 71: 664–671, 1940.
11.
FrazellE. L.LucasJ. C.Jr.: Cancer of tongue. Cancer, 15: 1085–1099, 1962.
12.
JesseR. H.BarkleyH. T.Jr., LindbergR. D.FletcherG. B.: Cancer of the oral cavity. Is elective neck dissection benefitial. Am. J. Surg., 120: 505–508, 1970.
13.
JesseR. H.FletcherG. H.: Metastases in cervical lymph nodes from oropharyngeal carcinoma. Am. J. Roentgenol., 90: 990–996, 1963.
14.
KremenA. J.ArhelgerS. W.: Early cancer of the oral cavity, with special reference to cancer of the tongue. Post. Grad. Med., 27: 422–427, 1960.
15.
KremenA. J.: The case for elective (prophylactic) neck dissection. In: Cancer of the Head and Neck.ConleyJ. J. (ed.). Butterworths Inc., Washington, 1967.
16.
KremenA. J.: Surgical management of cancer of the tongue. Surg. Clin. N. Amer., 47: 1125–1129, 1967.
17.
MartinH. E.: The case for prophylactic neck dissection. Cancer, 4: 92–97, 1951.
MartinH. E.MunsterH.SugarbakerE. D.: Cancer of the tongue. Arch. Surg., 41: 888–936, 1940.
20.
Mc GavranM. H.BauerW. C.OguraJ. H.: The incidence of cervical lymph nodes metastases from epidermoid carcinoma of the larynx and their relationship to certain characteristics of the primary tumor. Cancer, 14: 55–56, 1961.
21.
OguraJ. H.BelloJ. A.: Laryngectomy and radical neck dissection for carcinoma of the larynx. Laryngoscope, 62: 1–52, 1952.
22.
PutneyF. J.: Elective versus delayed neck dissection in cancer of the larynx. Surg. Ginec. Obstet, 112: 736–742, 1961.
23.
OliveiraA. B.: Esvaziamentos ganglionares do pescoço nas adenopatias cancerosas. Rev. Assoc. Paul. Med., 3: 123–159, 1933.
24.
PerezC. A.AckermanC. V.MillW. B.: Malignant tumors of the tonsil. Analysis of failure and factors affecting prognosis. Am. J. Roentgenol., 114: 43–58, 1972.
25.
RouvièreH.: Anatomy of the human lymphatic system.Edwards Brothers Inc., Michigan, 1938.
26.
SoutwickH. W.OttenJ. W.SlaughterD. P.: Treatment of squamous cell carcinoma of the tongue. Surgery, 43: 313–318, 1958.
27.
SugarbakerE. D.WileyH. M.: Indications for neck dissection. In: Treatment of Cancer and Allied Diseases.PackG. T.ArielI. M. (eds.). Paul B. Hoeber Inc., New York, 1959.
28.
TokerC.: Some observations on distribution of metastatic squamous carcinoma within cervical lymph nodes. Ann. Surg., 157: 419–426, 1963.
29.
TulenkoJ.PrioreR. L.HoffmeisterF. S.: Cancer of the tongue, comments on surgical treatment. Am. J. Surg., 112: 562–566, 1966.
