Contemporary use of sentinel lymph node biopsy in the head and neck

Sentinel lymph node biopsy has become a well-established and commonplace practice in many oncologic disease sites as a means to stage the regional lymphatics, avoid unnecessary surgery and decrease patient morbidity. In the head and neck, its role is well established for cutaneous melanoma with prov...

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Main Authors: Nolan B. Seim, Chadwick L. Wright, Amit Agrawal
Format: Article
Language:English
Published: Wiley 2016-06-01
Series:World Journal of Otorhinolaryngology-Head and Neck Surgery
Online Access:http://www.sciencedirect.com/science/article/pii/S209588111630018X
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author Nolan B. Seim
Chadwick L. Wright
Amit Agrawal
author_facet Nolan B. Seim
Chadwick L. Wright
Amit Agrawal
author_sort Nolan B. Seim
collection DOAJ
description Sentinel lymph node biopsy has become a well-established and commonplace practice in many oncologic disease sites as a means to stage the regional lymphatics, avoid unnecessary surgery and decrease patient morbidity. In the head and neck, its role is well established for cutaneous melanoma with proven fidelity and survival benefit. Its role in use for other sites such as oral cavity carcinoma continues to develop with promising results from several recent trials. Although not widely adopted, the potential benefits of sentinel lymph node biopsy in the management of oral cavity carcinoma are apparent. Refinements in technology and protocols including development of novel radiopharmaceutical tracers, routine incorporation of detailed anatomic imaging, increasing surgeon experience and development of new intraoperative identification aids will likely lead to improvements in the use and accuracy of this technique. Keywords: Oral cavity cancer, Sentinel lymph node, Head and neck cancer, Squamous cell carcinoma, Lymphoscintigraphy
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spelling doaj.art-dc4ae100ee794e1fb8c2ce3375011b782022-12-22T00:23:04ZengWileyWorld Journal of Otorhinolaryngology-Head and Neck Surgery2095-88112016-06-0122117125Contemporary use of sentinel lymph node biopsy in the head and neckNolan B. Seim0Chadwick L. Wright1Amit Agrawal2Department of Otolaryngology-Head and Neck Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, 4000 Eye and Ear Institute, 915 Olentangy River Road, Columbus, OH, 43210, USAWright Center of Innovation in Biomedical Imaging, Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, The Ohio State University Wexner Medical Center, 395 W, 12th Avenue, Rm. 430, Columbus, OH, 43210, USADepartment of Otolaryngology-Head and Neck Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, 4000 Eye and Ear Institute, 915 Olentangy River Road, Columbus, OH, 43210, USA; Corresponding author. 320 West 10th Avenue, Rm B-215, Columbus, OH, 43210, USA. Tel.: +1 614 293 8073; fax: +1 614 293 3193.Sentinel lymph node biopsy has become a well-established and commonplace practice in many oncologic disease sites as a means to stage the regional lymphatics, avoid unnecessary surgery and decrease patient morbidity. In the head and neck, its role is well established for cutaneous melanoma with proven fidelity and survival benefit. Its role in use for other sites such as oral cavity carcinoma continues to develop with promising results from several recent trials. Although not widely adopted, the potential benefits of sentinel lymph node biopsy in the management of oral cavity carcinoma are apparent. Refinements in technology and protocols including development of novel radiopharmaceutical tracers, routine incorporation of detailed anatomic imaging, increasing surgeon experience and development of new intraoperative identification aids will likely lead to improvements in the use and accuracy of this technique. Keywords: Oral cavity cancer, Sentinel lymph node, Head and neck cancer, Squamous cell carcinoma, Lymphoscintigraphyhttp://www.sciencedirect.com/science/article/pii/S209588111630018X
spellingShingle Nolan B. Seim
Chadwick L. Wright
Amit Agrawal
Contemporary use of sentinel lymph node biopsy in the head and neck
World Journal of Otorhinolaryngology-Head and Neck Surgery
title Contemporary use of sentinel lymph node biopsy in the head and neck
title_full Contemporary use of sentinel lymph node biopsy in the head and neck
title_fullStr Contemporary use of sentinel lymph node biopsy in the head and neck
title_full_unstemmed Contemporary use of sentinel lymph node biopsy in the head and neck
title_short Contemporary use of sentinel lymph node biopsy in the head and neck
title_sort contemporary use of sentinel lymph node biopsy in the head and neck
url http://www.sciencedirect.com/science/article/pii/S209588111630018X
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