TY - JOUR T1 - Discrepancy between clinical and pathological neck staging in oral cavity carcinomas JO - Acta Otorrinolaringológica Española T2 - AU - Henriques,Vânia AU - Breda,Eduardo AU - Monteiro,Eurico SN - 00016519 M3 - 10.1016/j.otorri.2017.02.008 DO - 10.1016/j.otorri.2017.02.008 UR - https://www.elsevier.es/es-revista-acta-otorrinolaringologica-espanola-102-articulo-discrepancy-between-clinical-pathological-neck-S0001651917300936 AB - IntroductionThe presence of cervical lymph node metastases in patients with oral cavity squamous cell carcinoma reduces survival by up to 50%. ObjectiveThe aims of this study are to assess the accuracy of clinical N staging versus pathological N staging and its impact on survival in order to identify predictive factors associated with the presence of occult neck metastases. MethodsOutcomes of 105 patients with oral cavity squamous cell carcinoma who underwent surgical treatment of the primary tumor and neck were retrospectively evaluated. ResultsFor pN0 and pN+ patients 5-year overall survival was respectively 53% and 27%; disease specific survival was 66% for pN0 and 33% for pN+. Patients with clinical negative lymph nodes were pathologically upstaged in 62% of cases. Disease specific survival according to staging discrepancy had statistically significant impact on survival (p=0.009). ConclusionClinical staging usually underestimates the presence of nodal disease. Neck dissection should be performed in cN0 oral cavity squamous cell carcinoma. ER -