Review of sentinel node procedure in cN0 head and neck squamous cell carcinomas. Guidelines from the French evaluation cooperative subgroup of GETTEC.
Fiche publication
Date publication
avril 2017
Journal
European annals of otorhinolaryngology, head and neck diseases
Auteurs
Membres identifiés du Cancéropôle Est :
Pr DOLIVET Gilles
Tous les auteurs :
Garrel R, Poissonnet G, Temam S, Dolivet G, Fakhry N, de Raucourt D
Lien Pubmed
Résumé
The reliability of the sentinel lymph node (SN) technique has been established for more than ten years in T1-T2 oral cavity and oropharynx squamous cell carcinoma. Although most authors stress the necessity of rigorous implementation, there are no agreed guidelines. Moreover, other indications have been described, in other anatomical areas of the upper aerodigestive tract and in case of previous surgery or radiotherapy. SN expert teams, under the GETTEC head and neck tumor study group, conducted a review of the key points for implementation in head and neck cancers through guidelines and a review of classical and extended indications. Reliability depends on respecting key points of preoperative landmarking by lymphoscintigraphy, and intraoperative SN sampling and histological analysis. The SN technique is the best means of diagnosing occult lymph node involvement, whatever the primary tumor location, T stage or patient history.
Mots clés
Cancer, GETTEC, Head and neck squamous cell carcinoma, Lymphoscintigraphy, Micrometastasis, N0, Sentinel node
Référence
Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Apr;134(2):89-93