International Journal of Head and Neck Surgery

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VOLUME 9 , ISSUE 2 ( April-June, 2018 ) > List of Articles


Recent Advances in the Management of Metastatic Neck Cancer

Adnan Darr, Somiah Siddiq

Keywords : Chemotherapy, Computed tomography, Head and neck squamous cell cancer recurrent, Metastatic, Neck, Positron emission tomography, Radiotherapy

Citation Information : Darr A, Siddiq S. Recent Advances in the Management of Metastatic Neck Cancer. Int J Head Neck Surg 2018; 9 (2):61-70.

DOI: 10.5005/jp-journals-10001-1338

License: CC BY-NC 4.0

Published Online: 01-03-2017

Copyright Statement:  Copyright © 2018; The Author(s).


One of the most important prognostic factors in head and neck cancer is the presence or absence, level, and size of metastatic neck disease. Controversies in neck management still exist due to the paucity of quality clinical trials with most evidence extrapolated from retrospective studies. However, recent evidence has emerged to address some of these areas including the ideal management of the N0 neck, the role of sentinel node biopsy in occult neck disease, posttreatment surveillance with positron emission tomography and computed tomography (PET-CT) and incorporation of P16 status and extranodal extension (ENE) in the recent 8th edition of AJCC in nodal staging. This paper provides an update on the current management of metastatic neck disease in the setting of squamous cancers arising from the upper aerodigestive tract.

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