Neck dissection-more, less, targeted?

Johannes Doescher

doi:10.1007/s00106-025-01696-z

2025-12-01

Johannes Doescher *

Johannes Zenk

DOI：10.1007/s00106-025-01696-z

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颈清扫术是头颈部恶性肿瘤手术治疗的关键组成部分。近年来，为获得最佳肿瘤学效果所需的颈清扫术范围已逐渐缩小，并且在某些情况下，已被替代性方案（如哨兵淋巴结活检）所取代。然而，这仅能在精确分期的基础上实现。为此，影像学技术的改进、分子标志物以及人工智能被用于此目的。特别是在免疫治疗背景下，该疗法现已获批用于新辅助治疗，此时功能性淋巴结构的保留具有重要意义，因为这对治疗效果产生积极影响。最终，颈部淋巴结的病理学检查仍然是评估预后的金标准，并用于制定辅助治疗方案。

Keyword:

Lymph node excision

Sentinel lymph node biopsy

Immunotherapy

Diagnostic imaging

Lymph node excision

Sentinel lymph node biopsy

Immunotherapy

Diagnostic imaging

Head and neck neoplasms

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