Greater local recurrence occurs with "berry picking" than neck dissection in XXXX .

@entity1 @entity259 @entity5 @entity3
Managing cervical lymph node @entity3 in @entity259 with either "berry picking" (BP) or anatomic neck dissection (AND) has not been shown to alter survival. Nevertheless local control of @entity259 is important. The purpose of this study is to determine whether the local recurrence rate of @entity259 is equivalent with BP versus AND. A retrospective analysis revealed 41 @entity1 with @entity259 and cervical node @entity3 seen by a single surgeon from 1985 to 2002. A total of 83 initial and repeat neck operations were performed (nine BPs, 30 central neck dissections, and 44 modified radical neck dissections). Recurrence of @entity5 , intervention for recurrence, and complications of the BP and AND groups were evaluated. All nine (100%) @entity1 undergoing a limited BP operation had local recurrence of @entity5 . Only three of the 32 (9%) @entity1 undergoing an initial formal neck operation had local recurrence of @entity5 . The recurrences after BP (100%) were significantly greater than the recurrences after AND (9%) (P < 0.001). The incidence of surgical complications with BP and AND was not different. Six of 32 (19%) initial formal neck dissection @entity1 and four of nine (44%) BP @entity1 had surgical complications. We conclude that BP is associated with greater local recurrence of @entity259 . @entity1 with nodal @entity3 should be managed with ANDs.
