The First and Second Echelon Sentinel Lymph Node Evaluation in Oral Cancer

Bassi, K K; Srivastava, Anurag; Seenu, Vuthaluru; Kumar, Rakesh; Parshad, Rajinder; Chumber, Sunil; Gupta, Siddharth; Bahadur, Sudhir

doi:10.1007/s12262-012-0497-5

Cited by 3 publications

(4 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The submandibular nodal basin is the first-echelon basin in patients with squamous cell carcinoma of the oral cavity; in sequence, lymph from the tumor then reaches the nodes at level II (the jugulodigastric nodes) and/or level III (the jugulo-omohyoid nodes). 3 In 1985, for the first time, Ozeki et al 4 tongue cancer have been reported. 5,6 A recent study found that, lingual lymph node may serve as the sentinel lymph node.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the consensus is that selective neck dissection from levels I to IV should be considered to remove occult cervical metastases in patients with tongue cancer and clinically negative nodal basins. 2 The clinical importance of metastatic lingual lymph nodes in terms of the prognosis of oral cavity cancer has been investigated, [3][4][5] but it remains unclear how best to detect and evaluate these nodes. Here, we describe the case of a metastatic lingual lymph node in a patient with tongue cancer and discuss the role of ultrasonography (US) for its detection.…”

Section: Introductionmentioning

confidence: 99%

“…The clinical importance of metastatic lingual lymph nodes in terms of the prognosis of oral cavity cancer has been investigated, 3‐5 but it remains unclear how best to detect and evaluate these nodes. Here, we describe the case of a metastatic lingual lymph node in a patient with tongue cancer and discuss the role of ultrasonography (US) for its detection.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sonographicdetectionof a metastatic lingual lymph node in a patient with tongue cancer

Bang

Jung

Cho

2020

J of Clinical Ultrasound

View full text Add to dashboard Cite

A 41-year-old male was diagnosed with tongue cancer. Preoperative imaging revealed no metastatic lymph nodes. Intraoperative sonography detected a minute hypoechoic lesion in the sublingual space. A pea-sized mass was found during dissection of that space and histopathology revealed a metastatic lymph node. The lingual lymph node should routinely be evaluated sonographically prior to surgical resection of tongue cancer. K E Y W O R D Sintraoperative sonography, lingual lymph node, metastasis, sublingual space, tongue cancer, ultrasonography

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sonographicdetectionof a metastatic lingual lymph node in a patient with tongue cancer

Bang

Jung

Cho

2020

J of Clinical Ultrasound

View full text Add to dashboard Cite

show abstract

“…Central lymphatics of the inner two-thirds of the oral tongue have pathways to nodes of both sides of the neck. [ 18 ]…”

Section: Introductionmentioning

confidence: 99%

MR evaluation of tongue carcinoma in the assessment of depth of invasion with histopathological correlation: A single center experience

Ravikanth

2020

Indian J Radiol Imaging

View full text Add to dashboard Cite

Introduction: Magnetic resonance imaging (MRI) has become the cornerstone for pretreatment evaluation of carcinoma tongue and provides accurate information regarding the extent of the lesion and depth of invasion that helps the clinician to optimize treatment strategy. Aim of the study is to correlate MRI and histopathological findings, to evaluate the role of MRI in loco-regional tumor node metastasis (TNM) staging, and to assess the depth of invasion of tongue carcinoma. Materials and Methods: This study was undertaken on 30 patients with clinical diagnosis of tongue carcinoma referred for MR imaging at a tertiary care hospital over the 2-year period between July 2017 and June 2019. MRI was performed with GE 1.5 Tesla scanner, neurovascular (NV) array coil. Clinical and MRI staging of tongue carcinoma was done preoperatively and correlated. Post-surgery, histopathological TNM staging was done and correlated with clinical and MRI TNM staging. The cutoff value of histopathological (HP) depth that could determine the existence of nodal metastasis was 5 mm. Results: In 30 patients diagnosed with tongue carcinoma, the incidence was higher in males (92%). Moderate agreement (k = 0.512) was noted for T staging between clinical and MRI staging assessments. Fair agreement (k = 0.218) was noted for N stage between clinical and MRI staging assessments. There was good agreement (k = 0.871) for M stage between the clinical and MRI staging assessments. Good agreement (k = 0.822 and k = 0.767, respectively) was noted for both T staging and Nstaging between MRI and histopathology staging assessments. The agreement for the T stage was poor (k = 0.012) between the clinical and histopathology staging assessments. Agreement for the N stage was also poor (k = 0.091) between the clinical and histopathology staging assessments. Mean depth of invasion by histology and MRI was 14.22 mm and 16.12 mm, respectively. Moderate agreement (k = 0.541) was noted between clinical and pathological tumor depth and good agreement (k = 0.844) was noted between radiological and pathological tumor depth. As for the T1WGd MRI depth with a cutoff value of 5 mm, the nodal metastasis rate in the group with values >5 mm was 52%, and for those <5 mm was 24%, both of which were significantly different ( P = 0.040). Pearson's correlation coefficient of HP depth and T1WGd MRI depth was 0.851 ( P < 0.001) suggesting that HP depth shows a strong correlation with T1WGd MRI depth. Conclusion: MRI is the imaging modality of choice for evaluation of tongue carcinoma as MRI helps in accurate staging of the tumor using TNM classification which is crucial for optimizing treatment options. The current study shows a high correlation between MRI and histopathological findings regarding thickness of tumor and depth of invasion. MRI and histopathology assessments of tumor spread were equivalent to within 0.5 mm DOI. E...

show abstract

Sentinel lymph node biopsy in oral and oropharyngeal squamous cell carcinoma: current status and unresolved challenges

Bluemel

Rubello²,

Colletti

et al. 2015

Eur J Nucl Med Mol Imaging

View full text Add to dashboard Cite

Because imaging with ultrasound, computed tomography, magnetic resonance imaging or positron emission tomography is unreliable for preoperative lymph node staging of early-stage oral and oropharyngeal squamous cell carcinoma (OSCC), elective neck dissection has been typically performed. The targeted sampling of sentinel lymph nodes (SLN) identified by lymphoscintigraphy and detected by gamma probe has become an effective alternative for the selection of patients for regional nodal resection. With careful consideration to technique, high SLN detection rates have been reported. Advanced techniques including intraoperative handheld gamma camera imaging and freehand single photon emission computed tomography (SPECT) are expected to increase surgical confidence in these procedures. This review gives an update on SLN biopsy in patients with OSCC including clinical standards and controversial aspects.

show abstract

The First and Second Echelon Sentinel Lymph Node Evaluation in Oral Cancer

Cited by 3 publications

References 22 publications

Sonographicdetectionof a metastatic lingual lymph node in a patient with tongue cancer

Sonographicdetectionof a metastatic lingual lymph node in a patient with tongue cancer

MR evaluation of tongue carcinoma in the assessment of depth of invasion with histopathological correlation: A single center experience

Sentinel lymph node biopsy in oral and oropharyngeal squamous cell carcinoma: current status and unresolved challenges

Contact Info

Product

Resources

About