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Title: Oral squamous cell carcinoma and a clinically negative neck: the value of follow-up
Author(s): Wensing, B.M. ; Merkx, M.A.W. ; Krabbe, P.F.M. ; Marres, H.A.M. ; Hoogen, F.J.A. van den
Publication year: 2011
Source: Head and Neck-Journal for the Sciences and Specialties of the Head and Neck, vol. 33, iss. 10, (2011), pp. 1400-1405
ISSN: 1043-3074
DOI: http://dx.doi.org/10.1002/hed.21642
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/97186   http://hdl.handle.net/2066/97186

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Subject: DCN 1: Perception and Action
NCEBP 2: Evaluation of complex medical interventions
NCEBP 2: Evaluation of complex medical interventions ONCOL 3: Translational research
ONCOL 5: Aetiology, screening and detection
Organization: Otorhinolaryngology
Oral and Maxillofacial Surgery
Health Evidence
Former Organization: Epidemiology, Biostatistics & HTA
Journal title:
Head and Neck-Journal for the Sciences and Specialties of the Head and Neck
Volume: vol. 33
Issue: iss. 10
Page start: p. 1400
Page end: p. 1405
Abstract:
BACKGROUND: In squamous cell carcinoma of the oral cavity (SCCOC), regular follow-up comprises 5 years of prescheduled visits, irrespective of tumor stage/classification and/or treatment. We analyzed our standard treatment and follow-up protocol in patients with a preoperative clinically negative neck (cN0) in SCCOC. METHODS: This is a retrospective chart analysis. Inventarization of treatment, occult metastatic spread, and follow-up were performed. RESULTS: In all, 197 patients were included. The occult metastatic rate was 24%. Eighty-three percent of recurrent disease presented within 2 years. Fifty-three percent of the patients with recurrent disease visited their physician outside prescheduled control visits. CONCLUSIONS: Ultrasound-guided fine-needle aspiration cytology currently is 1 of the most reliable staging techniques in cN0 SCCOC. Regular follow-up could perhaps be limited from 5 to 2 years of prescheduled follow-up visits.

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