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This study compared routine neck dissection vs PET-CT guided surveillance in head and neck cancer patients with Stage N2 or N3 disease. Survival was the same in both groups, however, surveillance resulted in considerably fewer operations and it was more cost-effective. N Engl J Med. 2016 Mar 23.    (retrieved Mar, 2016). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.