What are the United Kingdom (UK) National Multidisciplinary Guidelines for use of selective neck dissection in the management of neck metastases?

Updated: Aug 19, 2020
  • Author: Ron Mitzner, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print
Answer

Answer

United Kingdom (UK) National Multidisciplinary Guidelines from 2016 on the management of neck metastases in head and neck cancer included the following recommendations with regard to selective neck dissection [18] :

  • Selective neck dissection is as effective as modified radical neck dissection for controlling regional disease in N0 necks for all primary sites
  • Selective neck dissection alone is adequate treatment for pN1 neck disease without adverse histologic features

UK National Multidisciplinary Guidelines from 2016 regarding recurrent head and neck cancer included the following recommendations [19] :

  • Consider elective selective neck dissections in patients with recurrent primaries with N0 necks, especially in advanced cases
  • Selective neck dissection (with preservation of nodal levels, especially level V, that are not involved by disease) in patients with nodal (N+) recurrence appears to be as effective as modified or radical neck dissections

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!