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The Incidence of metastasis to level V lymph nodes in clinically positive necks requires further study ?

Published:December 16, 2021DOI:https://doi.org/10.1016/j.bjoms.2021.12.052
      The substantial work done by the authors in determining level V lymph node metastasis and related clinicopathological indicators in patients with cN+ oral cavity squamous cell carcinoma (SCC) is highly applauded.
      • Jayasuriya N.S.
      • Mannapperuma N.T.
      • Siriwardana S.
      • et al.
      Incidence of metastasis to level V lymph nodes in clinically positive necks among Sri Lankan patients with oral squamous cell carcinoma.
      Various clinical, pathological, and genetic studies have reported that level V is rarely involved in oral cavity malignancies, also when other levels are involved.
      • Ferlito A.
      • Silver C.E.
      • Rinaldo A.
      Elective management of the neck in oral cavity squamous carcinoma: current concepts supported by prospective studies.
      Emerging evidence also suggests that not all patients with a cN+ neck require a modified radical neck dissection.
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      References

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        • Mannapperuma N.T.
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        Incidence of metastasis to level V lymph nodes in clinically positive necks among Sri Lankan patients with oral squamous cell carcinoma.
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