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Clinical Challenges in Otolaryngology
March 1998

Selective Neck Dissection in Patients With Squamous Cell Carcinoma of the Upper Respiratory and Digestive TractsA Lack of Adequate Data

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Copyright 1998 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1998

Arch Otolaryngol Head Neck Surg. 1998;124(3):353. doi:10.1001/archotol.124.3.353

CLAYMAN and Frank have tackled an interesting, important, and potentially impossible topic. The problem, I fear, is lack of adequate data to truly resolve the issue. I am a proponent of elective neck dissections in patients at risk of having occult metastases from primary sites in the upper respiratory and digestive tracts. The histological evaluation thus afforded provides invaluable information to the patient and the treatment team regarding prognosis and the potential need for adjuvant therapy. At the conclusion of the 20th century, this is the best we can do to "biologically stage" these patients.

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