This work was presented at the 210th Annual Meeting of the Dutch Association for Otorhinolaryngology and Head and Neck Surgery, Groningen, April 19, 2007 and at the COSM-AHNS Meeting, San Diego, CA, April 26–29, 2007.
Ultrasound-guided aspiration cytology for the assessment of the clinically N0 neck: Factors influencing its accuracy†
Article first published online: 14 AUG 2008
Copyright © 2008 Wiley Periodicals, Inc.
Head & Neck
Volume 30, Issue 11, pages 1505–1513, November 2008
How to Cite
Borgemeester, M. C., van den Brekel, M. W. M., van Tinteren, H., Smeele, L. E., Pameijer, F. A., van Velthuysen, M.-L. F. and Balm, A. J. M. (2008), Ultrasound-guided aspiration cytology for the assessment of the clinically N0 neck: Factors influencing its accuracy. Head Neck, 30: 1505–1513. doi: 10.1002/hed.20903
- Issue published online: 8 OCT 2008
- Article first published online: 14 AUG 2008
- Manuscript Accepted: 11 APR 2008
- fine-needle aspiration cytology;
- head and neck;
- N0 neck;
- squamous cell carcinoma
Ultrasound-guided fine-needle aspiration cytology (US-FNAC) can be used to diminish the risk of missing occult metastases and for early detection during follow-up.
A retrospective study was performed in 163 surgically treated patients without palpable neck nodes (N0). One hundred twenty-six patients underwent planned elective neck dissections, and 37 were planned for a wait-and-see strategy, but preoperative US-FNAC could change this policy if metastases were detected.
In the elective neck dissection group, US-FNAC had a sensitivity of 39%, whereas in the wait-and-see group, the sensitivity was 18%. The 5-year survival in the wait-and-see group did not differ from the patients with early oral cancer who underwent an elective neck dissection.
Although the sensitivity of US-FNAC in this study is low, especially in small oral cancer, the prognosis in the wait-and-see group is not affected. However, a wait-and-see strategy is only advantageous to a minority of the patients. © 2008 Wiley Periodicals, Inc. Head Neck, 2008