Journal ArticleDOI
Sentinel lymph node biopsy for oral squamous cell carcinoma. Where are we now
Clare Schilling,Richard Shaw,Andrew Schache,Jeremy McMahon,S. Chegini,Cyrus Kerawala,Mark McGurk +6 more
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TLDR
Sentinel node biopsy (SNB), which is a reliable staging test for patients with early disease and a radiologically N0 neck, can detect occult metastases with a sensitivity of 86%-94%.Abstract:
Recent data have confirmed that elective surgical management of the cN0 neck improves survival in patients with early (T1-T2) oral squamous cell carcinoma (SCC), and is better than watchful waiting. However, elective neck dissection (END) may not always be necessary. Sentinel node biopsy (SNB), which is a reliable staging test for patients with early disease and a radiologically N0 neck, can detect occult metastases with a sensitivity of 86%-94%. Patients with no sign of metastases on SNB could avoid neck dissection, and individual treatment should reduce both morbidity and cost. Currently, SNB for oral SCC is available at a limited number of centres in the UK, but this is likely to change as national guidelines have recommended that it is incorporated into the standard treatment pathway. It is therefore important to understand the current evidence that supports its use, its limitations and related controversies, and to plan for a validated training programme.read more
Citations
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Journal ArticleDOI
Multicenter Trial of [18F]fluorodeoxyglucose Positron Emission Tomography/Computed Tomography Staging of Head and Neck Cancer and Negative Predictive Value and Surgical Impact in the N0 Neck: Results From ACRIN 6685.
Val J. Lowe,Fenghai Duan,Rathan M. Subramaniam,JoRean D. Sicks,Justin Romanoff,Twyla Bartel,Jian Q. Michael Yu,Brian Nussenbaum,Jeremy D. Richmon,Charles D. Arnold,David Cognetti,Brendan C. Stack +11 more
TL;DR: Findings suggest that [18F]fluorodeoxyglucose-PET/CT may assist the clinician in deciding on the best therapy for the clinically N0 neck in HNSCC.
Journal ArticleDOI
Sentinel node biopsy in early oral squamous cell carcinomas: Long-term follow-up and nodal failure analysis.
Antoine Moya-Plana,Anne Auperin,Joanne Guerlain,Philippe Gorphe,Odile Casiraghi,Gérard Mamelle,Antoine E. Melkane,Jean Lumbroso,François Janot,Stéphane Temam +9 more
TL;DR: SNB is a reliable staging tool for T1/T2 cN0 OSCC, without adverse effect on patient survival and fewer complications, and comparison-free time (RFT) and overall survival (OS) between patients undergoing SNB and neck dissection.
Journal ArticleDOI
Elective Neck Dissection or Sentinel Lymph Node Biopsy in Early Stage Oral Cavity Cancer Patients: The Dutch Experience
Inne J den Toom,Koos Boeve,Daphne Lobeek,Elisabeth Bloemena,Elisabeth Bloemena,Maarten L. Donswijk,Bart de Keizer,W. Martin C. Klop,C. René Leemans,Stefan M. Willems,Stefan M. Willems,Robert P. Takes,Max J. H. Witjes,Remco de Bree +13 more
TL;DR: In the absence of randomized clinical trials, this study provides the highest available evidence that, in oral cancer, SLNB is as accurate as END in detecting occult lymph node metastases, except for floor-of-mouth tumours.
Journal ArticleDOI
Surgical consensus guidelines on sentinel node biopsy (SNB) in patients with oral cancer
Clare Schilling,Sando J Stoeckli,M.G. Vigili,Remco de Bree,Stephen Y. Lai,J. Alvarez,Anders Christensen,David Cognetti,Anil K. D'Cruz,Bernhard Frerich,Renaud Garrel,Naoyuki Kohno,Willem M.C. Klop,Cyrus Kerawala,Georges Lawson,Jeremy McMahon,Isabel Sassoon,Richard Shaw,JF Tvedskov,Christian von Buchwald,Mark McGurk +20 more
TL;DR: The eighth international symposium for sentinel node biopsy in head and neck cancer was held in 2018 and this consensus conference aimed to deliver current multidisciplinary guidelines.
Journal ArticleDOI
New developments in imaging for sentinel lymph node biopsy in early-stage oral cavity squamous cell carcinoma
Rutger Mahieu,Josanne S de Maar,E.R. Nieuwenhuis,Roel Deckers,Chrit T. W. Moonen,Lejla Alic,Bennie ten Haken,Bart de Keizer,Remco de Bree +8 more
TL;DR: Evaluated novel sentinel lymph node imaging techniques for early-stage oral cancer, such as MR lymphography, CT lymphographers, PET lymphoscintigraphy and contrast-enhanced lymphosonography, describe their reported diagnostic accuracy and potential applications.
References
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Journal ArticleDOI
Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: A randomized clinical trial
Armando E. Giuliano,Kelly K. Hunt,Karla V. Ballman,Peter D. Beitsch,Pat Whitworth,Peter W. Blumencranz,A. Marilyn Leitch,Sukamal Saha,Linda M. McCall,Monica Morrow +9 more
TL;DR: Among patients with limited SLN metastatic breast cancer treated with breast conservation and systemic therapy, the use of SLND alone compared with ALND did not result in inferior survival, and overall survival was the primary end point, with a noninferiority margin of a 1-sided hazard ratio of less than 1.3 indicating thatSLND alone is noninherited.
Journal ArticleDOI
American Society of Clinical Oncology Guideline Recommendations for Sentinel Lymph Node Biopsy in Early-Stage Breast Cancer
Gary H. Lyman,Armando E. Giuliano,Mark R. Somerfield,Al B. Benson,Diane C. Bodurka,Harold J. Burstein,Alistair J. Cochran,Hiram S. Cody,Stephen B. Edge,Sharon Galper,James A. Hayman,Theodore Y. Kim,Cheryl L. Perkins,Donald A. Podoloff,Visa Haran Sivasubramaniam,Roderick R. Turner,Richard L. Wahl,Donald L. Weaver,Antonio C. Wolff,Eric P. Winer +19 more
TL;DR: A review of the available evidence demonstrates that, when performed by experienced clinicians, SNB appears to be a safe and acceptably accurate method for identifying early-stage breast cancer without involvement of the axillary lymph nodes.
Journal ArticleDOI
Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial
David N. Krag,Stewart J. Anderson,Thomas B. Julian,Ann M. Brown,Seth P. Harlow,Joseph P. Costantino,Takamaru Ashikaga,Donald L. Weaver,Eleftherios P. Mamounas,Lynne M. Jalovec,Thomas G. Frazier,R. Dirk Noyes,André Robidoux,Hugh M.C. Scarth,Norman Wolmark +14 more
TL;DR: Overall survival, disease-free survival, and regional control were statistically equivalent between groups, and outcome analyses were done in patients who were assessed as having pathologically negative sentinel nodes and for whom follow-up data were available.
Journal ArticleDOI
Elective versus Therapeutic Neck Dissection in Node-Negative Oral Cancer
Abstr Act,Richa Vaish,Neeti Kapre,Mitali Dandekar,Sudeep Gupta,Rohini Hawaldar,Jai Prakash Agarwal,Gouri Pantvaidya,Devendra Chaukar,Anuja Deshmukh,Shubhada Kane,Supreeta Arya,Sarbani Ghosh-Laskar,Pankaj Chaturvedi,Prathamesh S. Pai,Sudhir Nair,Deepa Nair,Rajendra A. Badwe +17 more
TL;DR: Elective node dissection was superior in most subgroups without significant interactions and among patients with early-stage oral squamous-cell cancer, elective neck dissection resulted in higher rates of overall and disease-free survival than did therapeutic neck dissections.
Journal ArticleDOI
Use of decision analysis in planning a management strategy for the stage N0 neck.
TL;DR: A patient with primary squamous cell carcinoma of the head and neck and stage N0 neck status should be observed if the probability of occult cervical metastasis is less than 20%.
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