Sentinel node biopsy as an alternative to elective neck dissection for staging of early oral carcinoma

Sandeep Samant*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Background We report the outcome of sentinel node biopsy (SNB) for staging the neck in a consecutive cohort of 34 patients with T1/2 clinically N0 oral carcinoma. Methods SNB was performed along with resection of primary tumor. Neck dissection was reserved for failure of SNB or pathologically positive sentinel nodes (pN+). Results Sentinel node identification was successful in 32 of 34 patients (94%); 2 patients with unsuccessful SNB underwent immediate neck dissection. Seven patients (21%) were pN+, 6 by SNB and 1 by elective neck dissection (END). Among 29 patients who were pN0 on SNB, nodal recurrence developed in 2 patients; both were surgically salvaged. Local failure developed in 1 patient. Two-year overall and disease-free survival was 87% and 80%, respectively. Conclusion Successful eradication of lymphatic metastasis noted in this study suggests that SNB may be a safe alternative to END for neck staging in patients with early oral carcinoma.

Original languageEnglish (US)
Pages (from-to)241-246
Number of pages6
JournalHead and Neck
Volume36
Issue number2
DOIs
StatePublished - Feb 1 2014

Keywords

  • elective neck dissection
  • oral cancer
  • sentinel node biopsy

ASJC Scopus subject areas

  • Otorhinolaryngology

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