Pediatric Hematology/Oncology and ImmunopathologyPediatric Hematology/Oncology and ImmunopathologyВопросы гематологии/онкологии и иммунопатологии в педиатрии1726-17082414-9314Fund Doctors, Innovations, Science for Children910.24287/1726-1708-2017-16-4-56-61СтатьиOrgan sparing neck dissection for the treatment of head and neck cancers in childrenОсобенности органосохраняющей шейной лимфодиссекции при злокачественных образованиях головы и шеи у детейhttps://orcid.org/0000-0002-4451-3233GrachevN. S.ГрачёвН.С.
Russian Federation

MD, Chief surgeon, Head of the Department of pediatric oncological surgery

Russia 117997, Moscow, Samory Mashela st., 1

nick-grachev@yandex.ruhttps://orcid.org/0000-0002-3932-6257VorozhtsovI. N.ВорожцовИ.Н.
Russian Federation
https://orcid.org/0000-0003-4264-1423BabaskinaN. V.БабаскинаН.В.
Russian Federation
https://orcid.org/0000-0003-1196-5070IaremenkoE. Yu.ЯрёменкоЕ.Ю.
Russian Federation
Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, ImmunologyФГБУ «Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева» Минздрава России09112017164566109082018Copyright ©; 2017, «D. Rogachev NMRCPHOI»Copyright ©; 2017, ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава России2017«D. Rogachev NMRCPHOI»ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава Россииhttps://creativecommons.org/licenses/by/4.0https://hemoncim.com/jour/article/view/9

A retrospective analysis was made in 63 patients who undergone the examination and treatment in Dmitry Rogachev National Research Center between January 2012 and August 2017. In the retrospective series 36 (57.1%) patients who underwent neck dissection for thyroid cancer and 27 (42.9%) head and neck cancer patients of other primary site. All patients underwent organpreserving block neck dissection. We detected statistically significantly more frequent metastatic lesion of the lymph nodes (p < 0.01), with fewer complications (p < 0.05), long-term disease-free survival and better outcomes (p < 0.01). Thus, thyroid cancer can be isolated into a separate class in which precision lymphodissection is of particular importance as an independent method of therapy and preventive treatment of metastatic involvement of the neck lymph nodes in head and neck cancer. It is especially important in children. As for other head and neck tumors, neck dissection is a secondary method of combined therapy.

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