Remarks on sentinel node biopsy in head and neck cancer
2005

Sentinel Node Biopsy in Head and Neck Cancer

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): Kovács A F

Primary Institution: Universitatsklinik Haus 21 Klinik und Poliklinik fur Kiefer- und Plastische Gesichtschirurgie

Hypothesis

Is sentinel node biopsy a reliable method for staging in head and neck cancer patients?

Conclusion

Sentinel node biopsy may reduce the need for elective neck dissections in head and neck cancer patients.

Supporting Evidence

  • Sentinel node biopsy has been shown to reflect the accuracy of clinical and radiological staging methods.
  • Höft et al (2004) reported a 24% positive sentinel node rate in their study.
  • Previous studies have shown very rare false-negative results with sentinel node biopsy.

Takeaway

Doctors are trying a new way to check for cancer in the neck that might be less risky than older methods.

Methodology

The study compared pathohistological results of sentinel node biopsy with elective neck dissection.

Limitations

Experience with sentinel node biopsy is still limited and follow-up times are short.

Participant Demographics

Patients with head and neck cancer, including those with clinically N0 necks.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602293

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