Sentinel node navigation surgery versus observation as a management strategy for early tongue carcinoma

Background The status of lymph nodes in the neck is the most important prognostic factor for the outcomes of patients with oral tongue cancer. However, surgical prophylaxis of the neck is controversial. Methods We reviewed 22 patients with clinically T1/T2, N0 Union Internationale Contre le Cancer o...

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Veröffentlicht in:Head & neck 2012-04, Vol.34 (4), p.568-572
Hauptverfasser: Yamauchi, Kohichi, Fujioka, Yasunori, Kohno, Naoyuki
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container_title Head & neck
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creator Yamauchi, Kohichi
Fujioka, Yasunori
Kohno, Naoyuki
description Background The status of lymph nodes in the neck is the most important prognostic factor for the outcomes of patients with oral tongue cancer. However, surgical prophylaxis of the neck is controversial. Methods We reviewed 22 patients with clinically T1/T2, N0 Union Internationale Contre le Cancer oral squamous cell carcinoma of the tongue. Patients were assigned to groups according to the management strategy selected for the neck. One group underwent a “watchful waiting” policy and the other underwent sentinel node navigation surgery (SNNS). Results Three of 11 patients (27%) in the watchful waiting group developed regional recurrence and underwent neck dissection. Only 1 of 11 patients (9.1%) in the SNNS group developed regional recurrence. Although the groups did not significantly differ, the SNNS group tended to have less regional recurrence. Conclusion SNNS should be the third strategy formanaging early oral tongue carcinoma. © 2011 Wiley Periodicals, Inc. Head Neck, 2012
doi_str_mv 10.1002/hed.21776
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However, surgical prophylaxis of the neck is controversial. Methods We reviewed 22 patients with clinically T1/T2, N0 Union Internationale Contre le Cancer oral squamous cell carcinoma of the tongue. Patients were assigned to groups according to the management strategy selected for the neck. One group underwent a “watchful waiting” policy and the other underwent sentinel node navigation surgery (SNNS). Results Three of 11 patients (27%) in the watchful waiting group developed regional recurrence and underwent neck dissection. Only 1 of 11 patients (9.1%) in the SNNS group developed regional recurrence. Although the groups did not significantly differ, the SNNS group tended to have less regional recurrence. Conclusion SNNS should be the third strategy formanaging early oral tongue carcinoma. © 2011 Wiley Periodicals, Inc. Head Neck, 2012</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.21776</identifier><identifier>PMID: 21688340</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - secondary ; Carcinoma, Squamous Cell - surgery ; Cohort Studies ; Disease-Free Survival ; Early Diagnosis ; Female ; Follow-Up Studies ; Glossectomy - methods ; Humans ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymph Nodes - surgery ; Lymphatic Metastasis ; Lymphoscintigraphy - methods ; Male ; Medical sciences ; Metastasectomy - methods ; neck dissection ; Neck Dissection - methods ; Neck Dissection - statistics &amp; numerical data ; Neoplasm Invasiveness - pathology ; Neoplasm Recurrence, Local - epidemiology ; Neoplasm Recurrence, Local - pathology ; Neoplasm Recurrence, Local - surgery ; Neoplasm Staging ; Otorhinolaryngology. Stomatology ; regional recurrence ; Retrospective Studies ; Risk Assessment ; sentinel lymph node ; Sentinel Lymph Node Biopsy - methods ; sentinel node navigation surgery ; Survival Analysis ; Tongue Neoplasms - mortality ; Tongue Neoplasms - pathology ; Tongue Neoplasms - surgery ; Treatment Outcome ; Watchful Waiting - methods ; watchful waiting policy</subject><ispartof>Head &amp; neck, 2012-04, Vol.34 (4), p.568-572</ispartof><rights>Copyright © 2011 Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4586-4d7efa540ab639dab2fc65ea65ccda2ef38ac0dc0a13c4508c69bced6d8d43673</citedby><cites>FETCH-LOGICAL-c4586-4d7efa540ab639dab2fc65ea65ccda2ef38ac0dc0a13c4508c69bced6d8d43673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.21776$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.21776$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25615138$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21688340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamauchi, Kohichi</creatorcontrib><creatorcontrib>Fujioka, Yasunori</creatorcontrib><creatorcontrib>Kohno, Naoyuki</creatorcontrib><title>Sentinel node navigation surgery versus observation as a management strategy for early tongue carcinoma</title><title>Head &amp; neck</title><addtitle>Head Neck</addtitle><description>Background The status of lymph nodes in the neck is the most important prognostic factor for the outcomes of patients with oral tongue cancer. However, surgical prophylaxis of the neck is controversial. Methods We reviewed 22 patients with clinically T1/T2, N0 Union Internationale Contre le Cancer oral squamous cell carcinoma of the tongue. Patients were assigned to groups according to the management strategy selected for the neck. One group underwent a “watchful waiting” policy and the other underwent sentinel node navigation surgery (SNNS). Results Three of 11 patients (27%) in the watchful waiting group developed regional recurrence and underwent neck dissection. Only 1 of 11 patients (9.1%) in the SNNS group developed regional recurrence. Although the groups did not significantly differ, the SNNS group tended to have less regional recurrence. Conclusion SNNS should be the third strategy formanaging early oral tongue carcinoma. © 2011 Wiley Periodicals, Inc. Head Neck, 2012</description><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - secondary</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Cohort Studies</subject><subject>Disease-Free Survival</subject><subject>Early Diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glossectomy - methods</subject><subject>Humans</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - pathology</subject><subject>Lymph Nodes - surgery</subject><subject>Lymphatic Metastasis</subject><subject>Lymphoscintigraphy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metastasectomy - methods</subject><subject>neck dissection</subject><subject>Neck Dissection - methods</subject><subject>Neck Dissection - statistics &amp; numerical data</subject><subject>Neoplasm Invasiveness - pathology</subject><subject>Neoplasm Recurrence, Local - epidemiology</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Neoplasm Staging</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>regional recurrence</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>sentinel lymph node</subject><subject>Sentinel Lymph Node Biopsy - methods</subject><subject>sentinel node navigation surgery</subject><subject>Survival Analysis</subject><subject>Tongue Neoplasms - mortality</subject><subject>Tongue Neoplasms - pathology</subject><subject>Tongue Neoplasms - surgery</subject><subject>Treatment Outcome</subject><subject>Watchful Waiting - methods</subject><subject>watchful waiting policy</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE9v1DAQxS0EomXhwBdAviDUQ1o7dpzkiEr_gKpy2EUcrYkzCYbEbu1k23x7smSXnnqa0czvzdM8Qt5zdsoZS89-YX2a8jxXL8gxZ2WeMCHzl7teikSwXB6RNzH-ZowJJdPX5CjlqiiEZMekXaMbrMOOOl8jdbC1LQzWOxrH0GKY6BZDHCP1VcSwXVYQKdAeHLTYz3IahwADthNtfKAIoZvo4F07IjUQjHW-h7fkVQNdxHf7uiI_Li8259fJzferr-efbxIjs0Ilss6xgUwyqJQoa6jSxqgMQWXG1JBiIwowrDYMuJgVrDCqrAzWqi5qKVQuVuTTcvcu-PsR46B7Gw12HTj0Y9RlqjJWyvn7FTlZSBN8jAEbfRdsD2HSnOldrHqOVf-LdWY_7K-OVT9PD-Qhxxn4uAcgGuiaAM7Y-MRlimdc7EzPFu7Bdjg976ivL74crJNFYeOAj_8VEP7o-d080z9vr_Tm9ptab9K13oi_WIOgjw</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>Yamauchi, Kohichi</creator><creator>Fujioka, Yasunori</creator><creator>Kohno, Naoyuki</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201204</creationdate><title>Sentinel node navigation surgery versus observation as a management strategy for early tongue carcinoma</title><author>Yamauchi, Kohichi ; Fujioka, Yasunori ; Kohno, Naoyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4586-4d7efa540ab639dab2fc65ea65ccda2ef38ac0dc0a13c4508c69bced6d8d43673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - secondary</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Cohort Studies</topic><topic>Disease-Free Survival</topic><topic>Early Diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glossectomy - methods</topic><topic>Humans</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - pathology</topic><topic>Lymph Nodes - surgery</topic><topic>Lymphatic Metastasis</topic><topic>Lymphoscintigraphy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metastasectomy - methods</topic><topic>neck dissection</topic><topic>Neck Dissection - methods</topic><topic>Neck Dissection - statistics &amp; numerical data</topic><topic>Neoplasm Invasiveness - pathology</topic><topic>Neoplasm Recurrence, Local - epidemiology</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Neoplasm Staging</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>regional recurrence</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>sentinel lymph node</topic><topic>Sentinel Lymph Node Biopsy - methods</topic><topic>sentinel node navigation surgery</topic><topic>Survival Analysis</topic><topic>Tongue Neoplasms - mortality</topic><topic>Tongue Neoplasms - pathology</topic><topic>Tongue Neoplasms - surgery</topic><topic>Treatment Outcome</topic><topic>Watchful Waiting - methods</topic><topic>watchful waiting policy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamauchi, Kohichi</creatorcontrib><creatorcontrib>Fujioka, Yasunori</creatorcontrib><creatorcontrib>Kohno, Naoyuki</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head &amp; neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamauchi, Kohichi</au><au>Fujioka, Yasunori</au><au>Kohno, Naoyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sentinel node navigation surgery versus observation as a management strategy for early tongue carcinoma</atitle><jtitle>Head &amp; neck</jtitle><addtitle>Head Neck</addtitle><date>2012-04</date><risdate>2012</risdate><volume>34</volume><issue>4</issue><spage>568</spage><epage>572</epage><pages>568-572</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background The status of lymph nodes in the neck is the most important prognostic factor for the outcomes of patients with oral tongue cancer. However, surgical prophylaxis of the neck is controversial. Methods We reviewed 22 patients with clinically T1/T2, N0 Union Internationale Contre le Cancer oral squamous cell carcinoma of the tongue. Patients were assigned to groups according to the management strategy selected for the neck. One group underwent a “watchful waiting” policy and the other underwent sentinel node navigation surgery (SNNS). Results Three of 11 patients (27%) in the watchful waiting group developed regional recurrence and underwent neck dissection. Only 1 of 11 patients (9.1%) in the SNNS group developed regional recurrence. Although the groups did not significantly differ, the SNNS group tended to have less regional recurrence. Conclusion SNNS should be the third strategy formanaging early oral tongue carcinoma. © 2011 Wiley Periodicals, Inc. 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subjects Biological and medical sciences
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - surgery
Cohort Studies
Disease-Free Survival
Early Diagnosis
Female
Follow-Up Studies
Glossectomy - methods
Humans
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis
Lymphoscintigraphy - methods
Male
Medical sciences
Metastasectomy - methods
neck dissection
Neck Dissection - methods
Neck Dissection - statistics & numerical data
Neoplasm Invasiveness - pathology
Neoplasm Recurrence, Local - epidemiology
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Neoplasm Staging
Otorhinolaryngology. Stomatology
regional recurrence
Retrospective Studies
Risk Assessment
sentinel lymph node
Sentinel Lymph Node Biopsy - methods
sentinel node navigation surgery
Survival Analysis
Tongue Neoplasms - mortality
Tongue Neoplasms - pathology
Tongue Neoplasms - surgery
Treatment Outcome
Watchful Waiting - methods
watchful waiting policy
title Sentinel node navigation surgery versus observation as a management strategy for early tongue carcinoma
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