Removing the taboo on the surgical violation (Cut-Through) of Cancer

K. Thomas Robbins; Carol R. Bradford; Juan P. Rodrigo; Carlos Suárez; Remco De Bree; Luiz P. Kowalski; Alessandra Rinaldo; Carl E. Silver; Valerie J. Lund; Ken Ichi Nibu; Alfio Ferlito

doi:10.1001/jamaoto.2016.1826

Removing the taboo on the surgical violation (Cut-Through) of Cancer

K. Thomas Robbins
, Carol R. Bradford
, Juan P. Rodrigo
, Carlos Suárez
, Remco De Bree
, Luiz P. Kowalski
, Alessandra Rinaldo
, Carl E. Silver
, Valerie J. Lund
, Ken Ichi Nibu
, Alfio Ferlito

Research output: Contribution to journal › Review article › peer-review

17 Scopus citations

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in surgical oncology, we believe it is time to acknowledge that this time-honored dictum of avoiding tumor violation is no longer valid in selected situations.

Original language	English (US)
Pages (from-to)	1010-1013
Number of pages	4
Journal	JAMA Otolaryngology - Head and Neck Surgery
Volume	142
Issue number	10
DOIs	https://doi.org/10.1001/jamaoto.2016.1826
State	Published - Oct 1 2016
Externally published	Yes

Bibliographical note

Publisher Copyright:
© Copyright 2016 American Medical Association. All rights reserved.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1001/jamaoto.2016.1826

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title = "Removing the taboo on the surgical violation (Cut-Through) of Cancer",

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.",

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doi = "10.1001/jamaoto.2016.1826",

language = "English (US)",

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T1 - Removing the taboo on the surgical violation (Cut-Through) of Cancer

AU - Thomas Robbins, K.

AU - Bradford, Carol R.

AU - Rodrigo, Juan P.

AU - Suárez, Carlos

AU - De Bree, Remco

AU - Kowalski, Luiz P.

AU - Rinaldo, Alessandra

AU - Silver, Carl E.

AU - Lund, Valerie J.

AU - Nibu, Ken Ichi

AU - Ferlito, Alfio

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N2 - 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.

AB - 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.

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JF - JAMA Otolaryngology - Head and Neck Surgery

IS - 10

ER -

Removing the taboo on the surgical violation (Cut-Through) of Cancer

Abstract

Bibliographical note

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