Abstract
Eighty previously untreated patients with hypopharyngeal carcinoma treated in our hospital from 1976 to 1990 were reviewed. The cumulative 5 year survival rate was 33%. Neck dissectin was performed on 31 patients who had nodal metastasis, and their cumulative 5 year survival rate was 25%. Our present principle of neck dissection for hypopharyngeal carcinoma with FAR therapy and neo-adjuvant chemotherapy based on our experience is as follows: 1. Neck dissection is performed only on the case with nodal metastasis. 2. Preoperative therapy of FAR therapy and neo-adjuvant chemotherapy is performed. 3. Accessary nerve and parotid gland without tumor invasion are preserved. 4. Neck dissection is performed even if nodal metastasis were disappeared after preopera tive therapy. 5. Internal jugular vein and sternocleidomastoid muscle are resected on neck dissection.
