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Removing the Taboo on the Surgical Violation (Cut-Through) of Cancer.

Robbins, KT; Bradford, CR; Rodrigo, JP; Suárez, C; de Bree, R; Kowalski, LP; Rinaldo, A; ... Ferlito, A; + view all (2016) Removing the Taboo on the Surgical Violation (Cut-Through) of Cancer. JAMA Otolaryngology-Head and Neck Surgery , 142 (10) pp. 1010-1013. 10.1001/jamaoto.2016.1826. Green open access

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Abstract

Importance: The surgical dictum of en bloc resection without violating cancer tissue has been challenged by novel treatments in head and neck cancer. Observations: An analysis of treatment outcomes involving piecemeal removal of sinonasal, laryngeal, oropharyngeal, and hypopharyngeal cancer shows that it did not compromise tumor control. The rationale for the evolution toward use of this technique is outlined. Conclusions and Relevance: While complete resection with clear margins remains a key end point in surgical oncology, we believe it is time to acknowledge that this time-honored dictum of avoiding tumor violation is no longer valid in selected situations.

Type: Article
Title: Removing the Taboo on the Surgical Violation (Cut-Through) of Cancer.
Open access status: An open access version is available from UCL Discovery
DOI: 10.1001/jamaoto.2016.1826
Publisher version: http://doi.org/10.1001/jamaoto.2016.1826
Language: English
Additional information: © 2016 American Medical Association. All rights reserved. The final publication is available at JAMA Otolaryngol Head Neck Surg via http://dx.doi.org/10.1001/jamaoto.2016.1826
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute
URI: https://discovery.ucl.ac.uk/id/eprint/1508923
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