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    Sentinel lymph node biopsy in node-negative squamous cell carcinoma of the oral cavity and oropharynx.

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    Authors
    Burns, P
    Foster, A
    Walshe, P
    O'Dwyer, T
    Affiliation
    Department of Otorhinolaryngology, Mater Hospital, Dublin, Ireland., drfatihtunca@yahoo.com
    Issue Date
    2012-02-01T11:09:03Z
    MeSH
    Adult
    Aged
    Aged, 80 and over
    Carcinoma, Squamous Cell/pathology/*secondary/surgery
    Female
    Humans
    Lymph Nodes/*pathology/radionuclide imaging
    Lymphatic Metastasis/diagnosis/*pathology
    Male
    Middle Aged
    Mouth Neoplasms/*pathology/surgery
    Neck Dissection/methods
    Neoplasm Staging
    Oropharyngeal Neoplasms/*pathology/surgery
    Prospective Studies
    Radiopharmaceuticals/diagnostic use
    Sentinel Lymph Node Biopsy/*methods
    Technetium Tc 99m Aggregated Albumin/diagnostic use
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    Citation
    J Laryngol Otol. 2009 Apr;123(4):439-43. Epub 2008 Sep 17.
    Journal
    The Journal of laryngology and otology
    URI
    http://hdl.handle.net/10147/208069
    DOI
    10.1017/S0022215108003514
    PubMed ID
    18796178
    Abstract
    OBJECTIVES: Considerable controversy exists regarding the merits of elective neck dissection in patients with early stage oral cavity and oropharyngeal squamous cell carcinoma. It is highly desirable to have a method of identifying those patients who would benefit from further treatment of the neck when they are clinically node-negative. The purpose of the present study was to examine the use of sentinel lymph node biopsy in identifying occult neck disease in a cohort of patients with node-negative oral cavity and oropharyngeal squamous cell carcinoma. DESIGN: We evaluated a total of 13 patients with oral cavity and oropharyngeal cancer who were clinically and radiologically node-negative. RESULTS: A sentinel lymph node was found in all 13 patients, revealing metastatic disease in five patients, four of whom had one or more positive sentinel lymph nodes. There was one false negative result, in which the sentinel lymph node was negative for tumour whereas histological examination of the neck dissection specimen showed occult disease. CONCLUSION: In view of these findings, we would recommend the use of sentinel lymph node biopsy in cases of oral cavity and oropharyngeal squamous cell carcinoma, in order to aid the differentiation of those patients whose necks are harbouring occult disease and who require further treatment.
    Language
    eng
    ISSN
    1748-5460 (Electronic)
    0022-2151 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1017/S0022215108003514
    Scopus Count
    Collections
    Mater Misericordiae Hospital

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