Micro-metastasis and isolated tumour cells: the span between elective neck dissection versus neck observation in early oral cancer

A Letter to the Editor to this article was published on 02 January 2021

A Letter to the Editor to this article was published on 23 June 2020

The Original Article was published on 25 February 2020

Abstract

Early oral squamous cell carcinoma (SCC) has a propensity for lymph-node metastasis. To address or not to address the neck electively during the ablative surgery has been an ongoing debate. In recent years, some practice-changing trial and systematic reviews have emerged and put to rest the discussion of elective neck dissection versus neck observation. Today elective neck is not a mere staging procedure. It has a definitive survival advantage, but the pathological basis of this advantage has not been elaborated. Understanding this could help answer some of the critical aspects of tumour spread.

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Correspondence to Anand Subash.

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Subash, A., Singh, A. & Sinha, P. Micro-metastasis and isolated tumour cells: the span between elective neck dissection versus neck observation in early oral cancer. Eur Arch Otorhinolaryngol 277, 2659–2660 (2020). https://doi.org/10.1007/s00405-020-06076-7

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Keywords

  • Neck dissection
  • Oral cancer
  • Metastasis
  • Lymph node