BACKGROUND: The purpose of this study was to examine the diagnostic accuracy of detecting lymph node metastases and to identify predictive and prognostic clinicopathological factors in patients with oral squamous cell carcinoma (OSCC) undergoing sentinel lymph node biopsy (SLNB). METHODS: All patients diagnosed with cT1 to T2N0 OSCC who underwent a diagnostic SLNB between 2007 and 2013 were included. RESULTS: We identified 253 patients, of whom 27% had a positive sentinel lymph node (SLB). The false-negative rate, sensitivity, and negative predictive value (NPV) were 5%, 88%, and 95%, respectively. Patients with micrometastases as well as macrometastases had a separately, significantly shorter disease-specific survival than patients with pN0 disease. In a logistic regression model, the maximum tumor thickness, perineural invasion, and differentiation grade were independent predictive factors for the presence of metastases. CONCLUSION: These data support the use of the SLNB technique as an accurate and safe staging tool in patients with OSCC with a cN0 neck.
BACKGROUND: The purpose of this study was to examine the diagnostic accuracy of detecting lymph node metastases and to identify predictive and prognostic clinicopathological factors in patients with oral squamous cell carcinoma (OSCC) undergoing sentinel lymph node biopsy (SLNB). METHODS: All patients diagnosed with cT1 to T2N0 OSCC who underwent a diagnostic SLNB between 2007 and 2013 were included. RESULTS: We identified 253 patients, of whom 27% had a positive sentinel lymph node (SLB). The false-negative rate, sensitivity, and negative predictive value (NPV) were 5%, 88%, and 95%, respectively. Patients with micrometastases as well as macrometastases had a separately, significantly shorter disease-specific survival than patients with pN0 disease. In a logistic regression model, the maximum tumor thickness, perineural invasion, and differentiation grade were independent predictive factors for the presence of metastases. CONCLUSION: These data support the use of the SLNB technique as an accurate and safe staging tool in patients with OSCC with a cN0 neck.
Authors: Rutger Mahieu; Dominique N V Donders; Gerard C Krijger; F F Tessa Ververs; Remmert de Roos; John L M M Bemelmans; Rob van Rooij; Remco de Bree; Bart de Keizer Journal: Eur J Nucl Med Mol Imaging Date: 2021-12-28 Impact factor: 10.057
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Authors: Richard Shaw; Anders Christensen; Kapil Java; Rehab El Maddani; Triantafillos Liloglou; Triantafyllou Asterios; Christian von Buchwald; Irene Wessel; Katalin Kiss; Andreas Kjaer; Giedrius Lelkaitis; Anna Long; Janet Risk; Max Robinson Journal: Ann Surg Oncol Date: 2016-07-08 Impact factor: 5.344
Authors: Anders Christensen; Karina Juhl; Birgitte Charabi; Jann Mortensen; Katalin Kiss; Andreas Kjær; Christian von Buchwald Journal: Ann Surg Oncol Date: 2016-02 Impact factor: 5.344
Authors: Inne J den Toom; Annelies van Schie; Stijn van Weert; K Hakki Karagozoglu; Elisabeth Bloemena; Otto S Hoekstra; Remco de Bree Journal: Eur J Nucl Med Mol Imaging Date: 2017-01-29 Impact factor: 9.236