[The concept and clinical application of superselective neck dissection in head and neck cancers]

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Feb 7;58(2):180-183. doi: 10.3760/cma.j.cn115330-20221012-00607.
[Article in Chinese]

Abstract

超择区性颈淋巴清扫术(superselective neck dissection,SSND)是在择区性颈淋巴清扫术(selective neck dissection,SND)的基础上发展起来的治疗头颈恶性肿瘤颈部转移淋巴结更加微创化的颈淋巴清扫术(neck dissection,ND),是指颈清扫范围小于连续3个颈部level分区的ND。鉴于尚不充分的循证依据,目前临床上SSND主要应用于cN0期头颈鳞状细胞癌(简称鳞癌)、头颈鳞癌放疗或放化疗后以及甲状腺乳头状癌颈部转移淋巴结的外科治疗。随着对头颈恶性肿瘤颈淋巴结转移特性的进一步认识,以及放疗、同步放化疗等非手术治疗在头颈鳞癌治疗中发挥越来越重要的作用,SSND也将日益得到重视。.

MeSH terms

  • Carcinoma, Squamous Cell* / surgery
  • Head and Neck Neoplasms* / surgery
  • Humans
  • Neck Dissection