@article { author = {Gad, Zeiad S and El-Malt, Osama A and El-Sakkary, Mostafa A T and Abdal Aziz, Mohamed M}, title = {Elective Neck Dissection for Management of Early-stage Oral Tongue Cancer}, journal = {Asian Pacific Journal of Cancer Prevention}, volume = {19}, number = {7}, pages = {1797-1803}, year = {2018}, publisher = {West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter.}, issn = {1513-7368}, eissn = {2476-762X}, doi = {10.22034/APJCP.2018.19.7.1797}, abstract = {Background: The occult neck metastasis rate is very high with tongue cancers. The aim of this study was to assessthe current role of elective neck dissection (END) in management of early-stage oral tongue cancer with a focus onlymph node metastasis. In addition, effects of END on regional or systemic disease recurrence and survival wereinvestigated. Methods: This retrospective study included patients with stage I and II tongue cancer recruited fromour National Cancer Institute (NCI) over a time period of six years (2007-2013). The collected data were analyzed fordisease free survival (DFS) and recurrence rate. Results: A total of 144 patients presented to our NCI with oral tonguecancer but only 88 were staged clinically and radiologically as early stage (stage I, stage II). Some 53% were smokers.Most lesions were dealt with by surgery, either by wide local excision (22%) or hemiglossectomy (78%). Treatment ofneck lesions was either by neck dissection (85.2%) or “wait and see” (14.8%). The rates for local and nodal recurrencewere 7.9% and 20.4%, respectively. Analysis of associations between DFS and different factors revealed significancefor adoption of adjuvant therapy and the dissected lymph node status. Conclusion: Controversy still exists regardingneck management.}, keywords = {Elective neck dissection,Occult metastasis,Squamous Cell Carcinoma}, url = {https://journal.waocp.org/article_65187.html}, eprint = {https://journal.waocp.org/article_65187_cfc0d230a5f30253dc05f81b60483dfe.pdf} }