Abstract
Sentinel lymph node biopsy represents a less invasive technique for detecting subclinical lymphatic metastases in patients with a known primary malignancy. This procedure was developed to address the management of the lymphatics for cutaneous lesions, especially malignant melanoma. For melanoma, lymphatic drainage patterns are very unpredictable, and the therapeutic value of extensive formal lymphadenectomies remains controversial. The technique is increasingly being applied to other malignancies. Multiple small patient series have been published evaluating the application of lymphatic mapping and sentinel lymph node biopsy to cancer of the oral cavity. The technique requires the selection of patients without clinical or radiologic evidence of gross lymphatic cancer who are at risk for subclinical metastases. Subsequently, primary tumors are injected with a radioactive tracer, followed by radiologic imaging, and then gamma probe-guided lymph node excision through a small incision. Rigorous serial sectioning and immunohistochemistry is essential. Sentinel lymph node biopsy has not yet been validated as safe for oral cavity cancer, and a multi-institutional trial is currently completing accrual to correlate the histopathologic results of sentinel lymph node biopsy and subsequent selective neck dissection. The goal is to establish the predictive value of the less invasive procedure relative to formal lymphadenectomy. In this article, the authors describe the details of their surgical technique for sentinel lymphadenectomy as applied to oral squamous cell carcinomas.
| Original language | English |
|---|---|
| Pages (from-to) | 275-285 |
| Number of pages | 11 |
| Journal | Operative Techniques in Otolaryngology - Head and Neck Surgery |
| Volume | 16 |
| Issue number | 4 |
| DOIs | |
| State | Published - Dec 1 2005 |
Fingerprint
Keywords
- Carcinoma
- Head and neck cancer
- Lymphatic metastases
- Sentinel lymph node biopsy
- Squamous cell
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Sentinel node biopsy in cancer of the oral cavity. / Civantos, Francisco; Werner, Jochen A.; Bared, Anthony.
In: Operative Techniques in Otolaryngology - Head and Neck Surgery, Vol. 16, No. 4, 01.12.2005, p. 275-285.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Sentinel node biopsy in cancer of the oral cavity
AU - Civantos, Francisco
AU - Werner, Jochen A.
AU - Bared, Anthony
PY - 2005/12/1
Y1 - 2005/12/1
N2 - Sentinel lymph node biopsy represents a less invasive technique for detecting subclinical lymphatic metastases in patients with a known primary malignancy. This procedure was developed to address the management of the lymphatics for cutaneous lesions, especially malignant melanoma. For melanoma, lymphatic drainage patterns are very unpredictable, and the therapeutic value of extensive formal lymphadenectomies remains controversial. The technique is increasingly being applied to other malignancies. Multiple small patient series have been published evaluating the application of lymphatic mapping and sentinel lymph node biopsy to cancer of the oral cavity. The technique requires the selection of patients without clinical or radiologic evidence of gross lymphatic cancer who are at risk for subclinical metastases. Subsequently, primary tumors are injected with a radioactive tracer, followed by radiologic imaging, and then gamma probe-guided lymph node excision through a small incision. Rigorous serial sectioning and immunohistochemistry is essential. Sentinel lymph node biopsy has not yet been validated as safe for oral cavity cancer, and a multi-institutional trial is currently completing accrual to correlate the histopathologic results of sentinel lymph node biopsy and subsequent selective neck dissection. The goal is to establish the predictive value of the less invasive procedure relative to formal lymphadenectomy. In this article, the authors describe the details of their surgical technique for sentinel lymphadenectomy as applied to oral squamous cell carcinomas.
AB - Sentinel lymph node biopsy represents a less invasive technique for detecting subclinical lymphatic metastases in patients with a known primary malignancy. This procedure was developed to address the management of the lymphatics for cutaneous lesions, especially malignant melanoma. For melanoma, lymphatic drainage patterns are very unpredictable, and the therapeutic value of extensive formal lymphadenectomies remains controversial. The technique is increasingly being applied to other malignancies. Multiple small patient series have been published evaluating the application of lymphatic mapping and sentinel lymph node biopsy to cancer of the oral cavity. The technique requires the selection of patients without clinical or radiologic evidence of gross lymphatic cancer who are at risk for subclinical metastases. Subsequently, primary tumors are injected with a radioactive tracer, followed by radiologic imaging, and then gamma probe-guided lymph node excision through a small incision. Rigorous serial sectioning and immunohistochemistry is essential. Sentinel lymph node biopsy has not yet been validated as safe for oral cavity cancer, and a multi-institutional trial is currently completing accrual to correlate the histopathologic results of sentinel lymph node biopsy and subsequent selective neck dissection. The goal is to establish the predictive value of the less invasive procedure relative to formal lymphadenectomy. In this article, the authors describe the details of their surgical technique for sentinel lymphadenectomy as applied to oral squamous cell carcinomas.
KW - Carcinoma
KW - Head and neck cancer
KW - Lymphatic metastases
KW - Sentinel lymph node biopsy
KW - Squamous cell
UR - http://www.scopus.com/inward/record.url?scp=30344450075&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=30344450075&partnerID=8YFLogxK
U2 - 10.1016/j.otot.2005.09.009
DO - 10.1016/j.otot.2005.09.009
M3 - Article
AN - SCOPUS:30344450075
VL - 16
SP - 275
EP - 285
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
SN - 1043-1810
IS - 4
ER -