Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers

Cervical lymph node metastasis affects the prognosis and overall survival rate of and therapeutic planning for patients with head and neck squamous cell carcinomas (HNSCCs). However, advanced diagnostic modalities still lack accuracy in detecting occult neck metastasis. A sentinel lymph node biopsy...

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Main Authors: Deepti Sharma, George Koshy, Sonal Grover
Format: Article
Language:English
Published: Sultan Qaboos University 2017-10-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1809
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author Deepti Sharma
George Koshy
Sonal Grover
author_facet Deepti Sharma
George Koshy
Sonal Grover
author_sort Deepti Sharma
collection DOAJ
description Cervical lymph node metastasis affects the prognosis and overall survival rate of and therapeutic planning for patients with head and neck squamous cell carcinomas (HNSCCs). However, advanced diagnostic modalities still lack accuracy in detecting occult neck metastasis. A sentinel lymph node biopsy is a minimally invasive auxiliary method for assessing the presence of occult metastatic disease in a patient with a clinically negative neck. This technique increases the specificity of neck dissection and thus reduces morbidity among oral cancer patients. The removal of sentinel nodes and dissection of the levels between the primary tumour and the sentinel node or the irradiation of target nodal basins is favoured as a selective treatment approach; this technique has the potential to become the new standard of care for patients with HNSCCs. This article presents an update on clinical applications and novel developments in this field.
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spelling doaj.art-a7f9ae897bb14e00a0e6502de7c796f22022-12-21T21:20:23ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282017-10-0117131010.18295/squmj.2016.17.01.0021733Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancersDeepti Sharma0George Koshy1Sonal Grover2Department of Oral & Maxillofacial Pathology, Christian Dental College & Hospital, Ludhiana, Punjab, IndiaDepartment of Oral & Maxillofacial Pathology, Christian Dental College & Hospital, Ludhiana, Punjab, IndiaDepartment of Oral & Maxillofacial Pathology, Christian Dental College & Hospital, Ludhiana, Punjab, IndiaCervical lymph node metastasis affects the prognosis and overall survival rate of and therapeutic planning for patients with head and neck squamous cell carcinomas (HNSCCs). However, advanced diagnostic modalities still lack accuracy in detecting occult neck metastasis. A sentinel lymph node biopsy is a minimally invasive auxiliary method for assessing the presence of occult metastatic disease in a patient with a clinically negative neck. This technique increases the specificity of neck dissection and thus reduces morbidity among oral cancer patients. The removal of sentinel nodes and dissection of the levels between the primary tumour and the sentinel node or the irradiation of target nodal basins is favoured as a selective treatment approach; this technique has the potential to become the new standard of care for patients with HNSCCs. This article presents an update on clinical applications and novel developments in this field.https://journals.squ.edu.om/index.php/squmj/article/view/1809head and neck cancersquamous cell carcinomasneck dissectionsentinel lymph node biopsylymphoscintigraphy
spellingShingle Deepti Sharma
George Koshy
Sonal Grover
Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers
Sultan Qaboos University Medical Journal
head and neck cancer
squamous cell carcinomas
neck dissection
sentinel lymph node biopsy
lymphoscintigraphy
title Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers
title_full Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers
title_fullStr Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers
title_full_unstemmed Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers
title_short Sentinel Lymph Node Biopsy : A new approach in the management of head and neck cancers
title_sort sentinel lymph node biopsy a new approach in the management of head and neck cancers
topic head and neck cancer
squamous cell carcinomas
neck dissection
sentinel lymph node biopsy
lymphoscintigraphy
url https://journals.squ.edu.om/index.php/squmj/article/view/1809
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AT sonalgrover sentinellymphnodebiopsyanewapproachinthemanagementofheadandneckcancers