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The role of selective neck dissection in patients with early oral squamous cell carcinoma (1-3cm primary size) and no clinical evidence of lymph node metastases in the neck (N0)

Phase 4
Conditions
Topic: National Cancer Research Network
Subtopic: Head and Neck Cancer
Disease: Head and Neck
Cancer
Oral squamous cell carcinoma
Registration Number
ISRCTN65018995
Lead Sponsor
Queen Mary University of London
Brief Summary

2019 Results article in https://pubmed.ncbi.nlm.nih.gov/31611612/ results (added 12/06/2020)

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
596
Inclusion Criteria

1. Patients with oral squamous cell carcinoma (OSCC) measuring 1 to 3 cm at the primary site (ICD9 codes: 141, 143, 144, 145, 146, 149)
2. No clinical or preoperative imaging evidence of nodal involvement in the neck (N0 neck)
3. Surgery is the primary mode of treatment
4. Age 16 years and over, either sex
5. Capable of giving written informed consent

Exclusion Criteria

1. Cancer of the lip (ICD9 code 140)
2. Previous head and neck tumour
3. Other synchronous tumour
4. Technical, medical or anaesthetic difficulties which preclude patients being entered into one of the trial arms
5. Where the surgeon assesses that the patient needs reconstruction that necessitates opening the neck
6. Those patients whom the multi-disciplinary team meeting considered to be medically, socially or psychiatrically unfit for surgery as first line treatment
7. Those patients where the patient expresses a preference for non-surgical treatment

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall survival
Secondary Outcome Measures
NameTimeMethod
<br> 1. Disease-free survival<br> 2. Local and regional recurrence<br> 3. Completeness of resection<br>
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