Résumé
Background: The prognostic significance of nodal involvement is not well established in head and neck mucosal melanoma (HNMM). Methods: A retrospective, monocentric study was performed on 96 patients with HNMM treated between 2000 and 2017. Results: At diagnosis, seventeen patients (17.8%) were cN1, with a higher risk for HNMM arising from the oral cavity (p = 0.01). cN status had no prognostic value in patients with nonmetastatic resectable HNMM. No occult nodal metastasis was observed in the cN0 patients after a nodal dissection (ND). The nodal recurrence rate was similar in the cN1 and the cN0 patients. No isolated nodal recurrences were noted. Among the patients who underwent a ND, no benefit of this procedure was noted. Conclusions: cN1 status is not a prognostic factor in patients with resectable HNMM. Elective ND should not be systematically performed in cN0 HNMM.
langue originale | Anglais |
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Pages (de - à) | 2325-2331 |
Nombre de pages | 7 |
journal | Head and Neck |
Volume | 43 |
Numéro de publication | 8 |
Les DOIs | |
état | Publié - 1 août 2021 |