Neck dissection after Chemo radiotherapy Timing and Complications
Abstract
Objectives:
To determine the incidence of postchemoradiotherapy (post-CRT) neck dissection (ND) complications; to ascertain whether timing (<12 vs≥12 weeks) from CRT to ND or other factors are associated with increased complications; and to determine whether ND timing influences disease control or survival.
Patients:
35 patients with head and neck cancer undergoing ND after CRT.
Main Outcome Measures:
Complications and survival variables compared between groups undergoing ND less than 12 weeks (less-than-12-weeksNDgroup) and 12 weeks or more (12-weeks-or-more ND group) after CRT.
Conclusion:
These findings indicate that ND can be safely performed 12 weeks or more after CRT without adversely affecting surgical complications or survival variables.
تجريف العنق بعد العلاج الشعاعي الكيماوي
التوقيت والاختلاطات
الهدف من الدراسة:
لدراسة الاختلاطات الناتجة عن تجريف العنق التالي للعلاج الشعاعي الكيماوي، وللتأكد إن كان توقيت إجراء تجريف العنق (قبل 12 أسبوعاً أو بدءاً من الأسبوع الثاني عشر وما بعد) له دور في زيادة الاختلاطات، ودراسة إن كان توقيت إجراء تجريف العنق له دور في السيطرة على الورم، وفي البقيا.
المرضى:
35 مريضاً لديهم سرطان في الرأس والعنق، خضعوا لتجريف عنق بعد العلاج الشعاعي الكيماوي.
المقارنات:
تمت مقارنة الاختلاطات ومدة البقيا بين مجموعة خضعت لتجريف عنق خلال مدة أقل من 12 أسبوعاً بعد العلاج الشعاعي الكيماوي، وبين مجموعة خضعت لتجريف عنق خلال مدة 12 أسبوعاً أو أكثر بعد العلاج الشعاعي الكيماوي.
الخلاصة:
أظهرت هذه الدراسة أن تجريف العنق يمكن أن يجرى بشكل آمن تماماً بدءاً من الأسبوع الثاني عشر أو أكثر بعد العلاج الشعاعي الكيماوي من دون أن تتغير نسبة حدوث الاختلاطات أو مدة البقيا.
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