Incidence and impact of skip metastasis in the neck in early oral cancer: Reality or a myth?

Oral Oncology(2022)

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摘要
•Occult metastasis was in 17.9% with 47.1% of this travelling to level I(b).•Skip metastasis at level III was in 1.2% and level IV was 0.3%•Presence of PNI predicted skip metastasis at level III.•Isolated occult metastasis at level Ia was in 0.3%, all in tongue cancers.•Clearance up to level III might be adequate in majority of patients.
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关键词
Early oral cancer,Level IV,Skip metastasis,Clinically node negative,cN0
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