European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2013
The controversy in the management of the N0 neck for squamous cell carcinoma of the maxillary sinus.
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Takes Robert P, Ferlito Alfio, Silver Carl E, Rinaldo Alessandra, Medina Jesus E, Robbins K Thomas, Rodrigo Juan P, Hamoir Marc, Suárez Carlos, Zbären Peter, Mondin Vanni, Shaha Ashok R, Mendenhall William M, Strojan Primož
Аннотация
Squamous cell carcinoma (SCC) of the maxillary sinus is a relatively rare disease. As the reported incidence of regional metastasis varies widely, controversy exists as to whether or not the N0 classified neck should be treated electively. In this review, the data from published series are analyzed to decide on a recommendation of elective treatment of the neck in maxillary SCC. The published series consist of heterogeneous populations of different subsites of the paranasal sinuses, different histological types, different staging and treatment modalities used and different ways of reporting the results. These factors do not allow for recommendations based on high levels of evidence. Given this fact, the relatively high incidence rate of regional metastasis at presentation or in follow-up in the untreated N0 neck, and the relatively low toxicity of elective neck irradiation, such irradiation in SCC of the maxillary sinus should be considered.