“…It provides information specific to the individual patient and so is important to provide appropriate personalized and optimal treatment regimes to eliminate the cancer [6,[8][9][10][11][12]. Morton [10] confirmed with the long-term results of the Multicenter Selective Lymphadenectomy Trial that SNB in head and neck melanoma increases both the disease-free and the specific survival of the patient.…”
Introduction: Most cutaneous head and neck tumors have a proclivity to spread via the lymphatic system and those sited in the upper face and scalp commonly drain to parotid lymph nodes. Sentinel Node Biopsy (SNB) allows the clinician to reliably harvest and then evaluate the first node to receive lymph drainage. Classically superficial parotidectomy would be required to retrieve the SN lodged in the parotid so limiting its utility. The current study utilizes a minimally invasive technique of parotid surgery that makes harvesting of the parotid SN a safe and reliable technique. Sentinel nodes procedure and facial nerve monitoring in order to protect the facial nerve.
“…It provides information specific to the individual patient and so is important to provide appropriate personalized and optimal treatment regimes to eliminate the cancer [6,[8][9][10][11][12]. Morton [10] confirmed with the long-term results of the Multicenter Selective Lymphadenectomy Trial that SNB in head and neck melanoma increases both the disease-free and the specific survival of the patient.…”
Introduction: Most cutaneous head and neck tumors have a proclivity to spread via the lymphatic system and those sited in the upper face and scalp commonly drain to parotid lymph nodes. Sentinel Node Biopsy (SNB) allows the clinician to reliably harvest and then evaluate the first node to receive lymph drainage. Classically superficial parotidectomy would be required to retrieve the SN lodged in the parotid so limiting its utility. The current study utilizes a minimally invasive technique of parotid surgery that makes harvesting of the parotid SN a safe and reliable technique. Sentinel nodes procedure and facial nerve monitoring in order to protect the facial nerve.
“…A review of all case series reporting SLNB in cSCC is detailed in Table IV. 13,18,28,[41][42][43][44][45][46][47][48][49][50][51][52] Our systematic review identified an overall positive rate for SLNB of 13.9% (32 of 231 patients) and a false-negative rate of 4.6% (10 of 215 patients) in cSCC. The authors usually stated that patients had high-risk factors for lymph node involvement.…”
Section: Systematic Review Resultsmentioning
confidence: 99%
“…Takahashi et al 46 46 To our knowledge, this is the only study evaluating long-term outcomes and suggests a prognostic role of SLNB for predicting survival. In a case series, 17 patients underwent SLNB and had 2 or more years follow-up; 6 (35.2%) Edition only recognizes these 4 high-risk features in addition to location on the ear or lip.…”
Section: Does Slnb Improve Survival and Other Outcomes In Cscc?mentioning
confidence: 97%
“…Larger series and longer follow-up are needed to demonstrate an improvement in survival documented in only 1 study. 46 …”
Section: Does Slnb Improve Survival and Other Outcomes In Cscc?mentioning
“…A small study out of Japan followed 26 people undergoing SLNB. The 3-year survival rate was 100% for negative SLN and 21% for positive SLN [81]. Two additional small case series report no recurrence or disease-specific death in the negative SLN patients during the study of follow-up time [82,83].…”
Sentinel lymph node biopsy (SLNB) is a procedure that can provide critical information regarding pathologic lymph node status and accurate regional staging. This is very important for developing treatment plans and providing prognostic guidance for cutaneous malignancies. The head and neck (HN) region is unique from other body sites due to its complex lymphatic drainage pathways, multiple lymph node basins, proximity of important cranial nerves and potential for contralateral or bilateral drainage. These unique aspects of the HN previously created some uncertainty about the use of SLNB in the HN. This review will discuss the current reliable status of HN SLNB and provide a guide for its current application in cutaneous malignancy of the HN.
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