[Prognostic factors of early XXXX and neck treatment].

@entity1 @entity135 @entity22651 @entity5 @entity957 @entity3 @entity5772
OBJECTIVE: To analyse the prognostic factors and the neck treatment strategy of early @entity957 (SCC). METHODS: Total of 152 cases of early tongue SCC underwent surgery between January 1994 December 2003 were reviewed. The @entity1 , according to their neck managements, were divided into two groups, or wait-whach group (n = 32) and neck dissection group (n = 120), and the neck dissection group was subdivided into supraomohyoid neck dissection (SND) group and @entity135 ( @entity22651 ) group (including radical neck dissection and modified radical neck dissection). RESULTS: All @entity1 were followed up over 5 years or until death and the 5-year follow-up rate was 94.7%. The regional recurrence rates of wait-whach group and neck dissection group were 34.4% and 14.2% respectively (  (2) = 6.865, P < 0.01) and 5-year overall survival rates of the two groups were 68% and 79% respectively (  (2) = 1.699, P > 0.05). There were no significant difference in the regional recurrence rate or 5-year survival rate between SND group and @entity22651 group (P > 0.05). The @entity1 with pathologically node positive had a low 5-year survival rate compared to those with node negative. The @entity1 with regional recurrence had a significant low 5-year survival rate compared to @entity1 without regional recurrence (P < 0.01). CONCLUSIONS: Occult lymph node @entity3 and regional recurrence were important prognostic factors for early @entity5 . Supraomohyoid neck dissection can not improve the 5-year survival rate, but significantly reduce the rate of neck recurrence. The results suggest that the selective neck dissection for ipsilateral level I-III should be applied to the @entity1 with @entity5772 which does not cross the midline.
