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 |
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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 |
format | Article |
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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><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 & 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 & 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&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 & 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 & 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 & 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 & 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 & 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. Head Neck, 2012</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21688340</pmid><doi>10.1002/hed.21776</doi><tpages>5</tpages></addata></record> |
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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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