Sentinel lymph node biopsy for early stage tongue cancer—a 14-year single-centre experience |
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Authors: | L Hingsammer T Seier D Zweifel G Huber M Rücker M Bredell M Lanzer |
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Institution: | 1. Department of Oral and Maxillofacial Surgery, University Clinic of Zurich, Zurich, Switzerland;2. Department of Ear, Nose and Throat, University Clinic of Zurich, Zurich, Switzerland |
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Abstract: | This study was performed to report the usage of sentinel lymph node biopsy (SLNB) in clinical stage I or II tongue cancer patients with cN0 necks seen over a 14-year period. Data were collected prospectively, and a retrospective analysis was performed of 41 patients with early stage oral squamous cell carcinoma of the tongue and a cN0 neck. Sentinel lymph node (SLN)-positive patients underwent elective neck dissection, whereas SLN-negative patients were kept under careful observation. Seven of the 41 (17%) patients enrolled in the study were found to have occult metastases. The patients were followed up for a mean duration of 92 months (range 60–144 months). The neck recurrence rate for SLN-positive patients was 0% and for SLN-negative patients was 3%. The authors recommend the routine use of SLNB in patients with early stage oral squamous cell carcinoma of the tongue and a cN0 neck. Furthermore, special focus should be placed on isolated tumour cells, as their presence is of high clinical relevance. |
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Keywords: | neck dissection sentinel node biopsy tongue cancer survival rate |
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