By Val Speechley, Maxine Rosenfield, Richenda Milton-Thompson, David Woodroffe, Jane Taylor
Melanoma at Your Fingertips is a useful reference advisor, which provides transparent, authoritative and functional information regarding melanoma. Written by way of specialists within the box, this handbook solutions over 450 genuine questions that individuals most ordinarily ask.
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Ann Otol Rhinol Laryngol 39:384–397 Werning JW, Mendenhall WM (2007) Management of the neck. In: Werning JW (ed) Oral cancer. Diagnosis, management, and rehabilitation. Thieme Medical Publishers, New York Werning JW, Heard D, Pagano C, Khuder S (2003) Elective management of the clinically negative neck by otolaryngologists in patients with oral tongue cancer. Arch Otolaryngol Head Neck Surg 129(1):83–88 Wolfensberger M, Zbaeren P, Dulguerov P, Müller W, Ornoux A, Schmid, S (2001) Surgical treatment of early oral carcinoma–Results of a prospective controlled multi center study, Head and Neck 23:525–530 Yuen AP, Lam KY, Lam LK, Ho CM, Wong A, Chow TL, Yuen WF, Wei WI (2002) Prognostic factors of clinically stage I and II oral tongue carcinoma.
14) (Werning and Mendenhall 2007). The various types of neck dissections were described based on the different lymph nodes levels, and some of the levels were subdivided into several compartments. The use of the elective neck dissection can be thought of as a continuing evolutionary cycle which, in contrast to other evolutionary cycles such as the dinosaur, does not necessarily mean that the RND or modified radical neck dissection (MRND) is no longer in use. Quite the contrary, for patients with advanced-stage cervical lymph node metastases, the RND or MRND remains the mainstay of treatment.
These findings made our surgical group reluctant to do less than an RND because of the high rate of regional recurrence. Since the publication of our observations, the presence of ECS has become well recognized and has become an important feature in the management of squamous cell carcinoma of the head and neck. ECS is also now mentioned in articles on other types of tumors in the head and neck, such as melanoma, and thyroid and salivary gland tumors; although intuitively this finding cannot be good, it has not been systematically studied in the other tumor types.