radical neck dissection

根治的頚部郭清術

WordNet

1. kiss, embrace, or fondle with sexual passion; "The couple were necking in the back seat of the car" (同)make_out
2. an opening in a garment for the neck of the wearer; a part of the garment near the wearers neck (同)neck opening
3. a narrow part of an artifact that resembles a neck in position or form; "the banjo had a long neck"; "the bottle had a wide neck"
4. the part of an organism (human or animal) that connects the head to the rest of the body; "he admired her long graceful neck"; "the horse won by a neck" (同)cervix
5. a cut of meat from the neck of an animal
6. a narrow elongated projecting strip of land
7. of or relating to or constituting a linguistic root; "a radical verb form"
8. (mathematics) a quantity expressed as the root of another quantity
9. a character conveying the lexical meaning of a logogram
10. a person who has radical ideas or opinions
11. especially of leaves; located at the base of a plant or stem; especially arising directly from the root or rootstock or a root-like stem; "basal placentation"; "radical leaves" (同)basal
12. arising from or going to the root or source; "a radical flaw in the plan"
13. cutting so as to separate into pieces
14. detailed critical analysis or examination one part at a time (as of a literary work)
15. a minute and critical analysis
16. having a neck or having a neck especially as specified (often used in combination)

PrepTutorEJDIC

1. 〈C〉(人間・動物の)『首』;首の骨 / 〈C〉(衣服の)えり / 〈C〉首の形をした物 / 〈U〉〈C〉(食品としての)(羊などの)頚肉(けいにく) / キスして愛撫(あいぶ)し合う
2. 『根本的な』,『基本的な』 / 《しばしばR-》『急進的な』,過激な / (数学の記号で)根(こん)の / 《しばしばR-》急進堂員,主義者,過激論者 / (数学の記号で)根,根号 / (化学反応で)基(き),根
3. 〈U〉〈C〉(実験・研究のための)解剖,解体 / 〈C〉実験用解剖体,解剖模型 / 〈U〉詳細な分析

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2019/04/26 21:02:29」(JST)

wiki en

[Wiki en表示]

Neck dissection
Specialty	oncology

The neck dissection is a surgical procedure for control of neck lymph node metastasis from squamous cell carcinoma (SCC) of the head and neck. The aim of the procedure is to remove lymph nodes from one side of the neck into which cancer cells may have migrated. Metastasis of squamous cell carcinoma into the lymph nodes of the neck reduce survival and is the most important factor in the spread of the disease. The metastases may originate from SCC of the upper aerodigestive tract, including the oral cavity, tongue, nasopharynx, oropharynx, hypopharynx, and larynx, as well as the thyroid, parotid and posterior scalp.

History of Neck Dissections

• 1906 - George W. Crile of the Cleveland Clinic describes the radical neck dissection. The operation encompasses removal of all the lymph nodes on one side of the neck, and includes removal of the spinal accessory nerve (SAN), internal jugular vein (IJV) and sternocleidomastoid muscle (SCM).
• 1957 - Hayes Martin describes routine use of the radical neck dissection for control of neck metastases.
• 1967 - Oscar Suarez and E. Bocca describe a more conservative operation which preserves SAN, IJV and SCM.
• Last 3 decades - Further operations have been described to selectively remove the involved regional lymph groups.

Division of the Neck into Levels and Sublevels

To describe the lymph nodes of the neck for neck dissection, the neck is divided into 6 areas called Levels. The levels are identified by Roman numeral, increasing towards the chest. A further Level VII to denote lymph node groups in the superior mediastinum is no longer used. Instead, lymph nodes in other non-neck regions are referred to by the name of their specific nodal groups.

• Level I - This includes the submental and submandibular lymph nodes.

  The submental triangle (sublevel IA) is bounded by the anterior belly of the digastric muscles (laterally) and the hyoid (inferiorly). The submandibular triangle (sublevel IB) is bounded by the body of the mandible (superiorly), the stylohyoid (posteriorly), and the anterior belly of the digastric (anteriorly).

• Level II - This includes lymph nodes of the upper jugular group and is divided into sublevels IIA and IIB.

  Level II is bounded by the inferior border of the hyoid (inferiorly), the base of skull (superiorly), the stylohyoid muscle (anteriorly) and the posterior border of the SCM (posteriorly). Sublevel IIA nodes lie anterior to the SAN. Sublevel IIB nodes lie posterior to the SAN.

• Level III - This includes lymph nodes of the middle jugular group.

  This level is bounded by the inferior border of the hyoid (superiorly) and the inferior border of the cricoid (inferiorly), the posterior border of the sternohyoid (anteriorly) and the posterior border of the SCM (posteriorly).

• Level IV - This includes lymph nodes of the lower jugular group.

  This level is bounded by the inferior border of the cricoid (superiorly), the clavicle / sternal notch (inferiorly), the posterior border of the sternohyoid (anteriorly) and the posterior border of the SCM (posteriorly).

• Level V - This includes posterior compartment lymph nodes.

  This compartment is bounded by the clavicle (inferiorly), the anterior border of the trapezius (posteriorly), the posterior border of the SCM (anteriorly). It is divided into sublevels VA (lying above a transverse plane marking the inferior border of the anterior cricoid arch) and VB (below the aforementioned plane).

• Level VI - This includes the anterior compartment lymph nodes.

  This compartment is bounded by the common carotid arteries (laterally), the hyoid (superiorly), the suprasternal notch (inferiorly).

Classification of Neck Dissections

The 2001 revisions proposed by the American Head and Neck Society (AHNS) and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) are as follows.

1. Radical Neck Dissection (RND) - removal of all ipsilateral cervical lymph node groups from levels I through V, together with SAN, SCM and IJV.
2. Modified Radical Neck Dissection (MRND) - removal of all lymph node groups routinely removed in a RND, but with preservation of one or more nonlymphatic structures (SAN, SCM and IJV).
3. Selective Neck Dissection (SND) (together with the use of parentheses to denote the levels or sublevels removed) - cervical lymphadenectomy with preservation of one or more lymph node groups that are routinely removed in a RND. Thus for oral cavity cancers, SND (I-III) is commonly performed. For oropharyngeal, hypopharyngeal and laryngeal cancers, SND (II-IV) is the procedure of choice.
4. Extended Neck Dissection - This refers to removal of one or more additional lymph node groups or nonlymphatic structures, or both, not encompassed by the RND.

External links

• Patient Information for neck dissection at Georgetown Univ. Hospital
• Neck dissection: an operation in evolution in World Journal of Surgical Oncology
• eMedicine: Head and Neck Cancer: Resection and Neck Dissection
• eMedicine: Radical Neck Dissection

UpToDate Contents

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• 1. 分化型甲状腺癌に対する中心領域および側頸部のリンパ節郭清（頸部郭清） central and lateral compartment lymphadenectomy neck dissection for differentiated thyroid cancer
• 2. 局所進行性（ステージⅢおよびⅣ）頭頚部癌の治療：中咽頭 treatment of locoregionally advanced stage iii and iv head and neck cancer the oropharynx
• 3. 分化型甲状腺癌：外科的治療 differentiated thyroid cancer surgical treatment
• 4. 癌性疼痛症候群の概要 overview of cancer pain syndromes
• 5. 局所進行性（ステージIIIおよびIV）の頭頸部癌の治療：口腔 treatment of locoregionally advanced stage iii and iv head and neck cancer the oral cavity

English Journal

• Sinonasal Malignancies of Anterior Skull Base: Histology-driven Treatment Strategies.

• Castelnuovo P1, Turri-Zanoni M2, Battaglia P1, Antognoni P3, Bossi P4, Locatelli D5.
• Otolaryngologic clinics of North America.Otolaryngol Clin North Am.2016 Feb;49(1):183-200. doi: 10.1016/j.otc.2015.09.012.
• The advances in endoscopy have revolutionized the management of sinonasal and skull base lesions. Many complex cancers that traditionally required open approaches are now amenable to purely endoscopic endonasal resection, providing less invasive surgery with lower morbidity but with comparable oncol
• PMID 26614837

• Mouse model of experimental Eustachian tube occlusion: a surgical technique.

• Varsak YK1,2, Santa Maria PL1.
• Acta oto-laryngologica.Acta Otolaryngol.2016 Jan;136(1):12-7. doi: 10.3109/00016489.2015.1082191. Epub 2015 Sep 18.
• CONCLUSION: The present study demonstrates a mouse model of chronic Eustachian tube (ET) dysfunction using a surgical technique that is reproducible and effective with low mortality and morbidity.OBJECTIVE: To create a reproducible and effective mouse model of ET obstruction with a low operative mor
• PMID 26381832

• Chronic lymphocytic thyroiditis and BRAF V600E in papillary thyroid carcinoma.

• Kim SK1, Woo JW1, Lee JH1, Park I1, Choe JH1, Kim JH2, Kim JS2.
• Endocrine-related cancer.Endocr Relat Cancer.2016 Jan;23(1):27-34. doi: 10.1530/ERC-15-0408.
• It has been reported that papillary thyroid carcinoma (PTC) with chronic lymphocytic thyroiditis (CLT) is less associated with extrathyroidal extension (ETE), advanced tumor stage and lymph node (LN) metastasis. Other studies have suggested that concurrent CLT could antagonize PTC progression, even
• PMID 26598713

Japanese Journal

• Prone-Position Thoracoscopic Ligation of the Thoracic Duct for Chyle Leak Following Radical Neck Dissection in a Patient with a Right Aortic Arch

• Acta Medica Okayama 69(3), 173-176, 2015-06
• NAID 120005621911

• A clinicopathological study of perineural invasion and vascular invasion in oral tongue squamous cell carcinoma

• International Journal of Oral and Maxillofacial Surgery 44(5), 543-548, 2015-05
• NAID 120005624093

• 90 歳以上の超高齢口腔癌患者の臨床的検討

• 老年歯科医学 30(3), 318-325, 2015
• NAID 130005121899

Related Links

• Radical Neck Dissection - definition of Radical Neck ...

Radical Neck Dissection Definition Radical neck dissection is an operation used to remove cancerous tissue in the head and neck. Purpose The purpose of radical neck dissection is to remove lymph nodes and other structures in the ...

• Radical Neck Dissection - Diseases & Conditions ...

Radical Neck Dissection. Metastatic neck disease is the most important factor in the spread of head and neck squamous cell carcinoma from primary sites. ... Lymphatic metastasis is the most important mechanism of ...

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★リンクテーブル★

リンク元	「根治的頚部郭清術」「neck dissection」「RND」
関連記事	「dissection」「radical」「neck」「neck dissection」

「根治的頚部郭清術」

　　[★]

英

radical neck dissection, RND

同

全頚部郭清術、全頸部郭清術、根治的頸部郭清術

関

頚部郭清術

参考

• 1. [charged] Overview of the complications of head and neck cancer and its therapy - uptodate [1]

「neck dissection」

　　[★]

頚部郭清術、頸部郭清術

関

radical neck dissection

「RND」

　　[★] 根治的頚部郭清術 radical neck dissection

「dissection」

　　[★]

• v.

• 切開、解剖、解体、郭清、精査、ダイセクション
• (医)解離

関

anatomy、detachment、disassemble、disassembly、dismantle、dissect、dissociate、dissociation、incise、incision、maceration、perusal、radical dissection、scrutinize、scrutiny、total dissection、unbinding

　 　 　 　

「radical」

　　[★]

• ラジカル、遊離基、過激な、(治療)根治的な

関

curable、free radical、radically

　 　 　 　 　 　 　

「neck」

　　[★]

• n.

• 首、頸部、頚部

関

cervical、cervical region、cervix

　 　 　 　 　 　 　

「neck dissection」

　　[★]

頚部郭清術、頸部郭清術

関

radical neck dissection