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Joint practice guidelines for radionuclide lymphoscintigraphy for sentinel node localization in oral/oropharyngeal squamous cell carcinoma.

Alkureishi, Lee W T
; 
Burak, Zeynep
; 
Alvarez, Julio A
; 
Ballinger, James
; 
Bilde, Anders
; 
Britten, Alan J
; 
Calabrese, Luca
; 
Chiesa, Carlo
; 
Chiti, Arturo
; 
de Bree, Remco
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Abstract
Involvement of the cervical lymph nodes is the most important prognostic factor for patients with oral/oropharyngeal squamous cell carcinoma (OSCC), and the decision whether to electively treat patients with clinically negative necks remains a controversial topic. Sentinel node biopsy (SNB) provides a minimally invasive method of determining the disease status of the cervical node basin, without the need for a formal neck dissection. This technique potentially improves the accuracy of histological nodal staging and avoids over-treating three-quarters of this patient population, minimizing associated morbidity. The technique has been validated for patients with OSCC, and larger-scale studies are in progress to determine its exact role in the management of this patient population. This article was designed to outline the current best practice guidelines for the provision of SNB in patients with early-stage OSCC, and to provide a framework for the currently evolving recommendations for its use. These guidelines were prepared by a multidisciplinary surgical/nuclear medicine/pathology expert panel under the joint auspices of the European Association of Nuclear Medicine (EANM) Oncology Committee and the Sentinel European Node Trial Committee.
Authors
Alkureishi, Lee W T
Burak, Zeynep
Alvarez, Julio A
Ballinger, James
Bilde, Anders
Britten, Alan J
Calabrese, Luca
Chiesa, Carlo
Chiti, Arturo
de Bree, Remco
Gray, Harry W
Hunter, Keith
Kovacs, Adorjan F
Lassmann, Michael
Leemans, C Rene
Mamelle, Gerard
McGurk, Mark
Mortensen, Jann
Poli, Tito
Shoaib, Taimur
Sloan, Philip
Sorensen, Jens A
Stoeckli, Sandro J
Thomsen, Jorn B
Trifiro, Giusepe
Werner, Jochen
Ross, Gary L
Affiliation
Department of Plastic Surgery, University of Chicago Medical Center, Chicago, USA. lee_alkureishi@hotmail.com
Description
Date
2009-11
Publisher
Collections
All Christie Publications
Surgery
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Keywords
Mouth Cancer
Oropharyngeal Cancer
Type
Article
Citation
Joint practice guidelines for radionuclide lymphoscintigraphy for sentinel node localization in oral/oropharyngeal squamous cell carcinoma. 2009, 36 (11):1915-36 Eur. J. Nucl. Med. Mol. Imaging
Journal Title
Journal ISSN
Volume Title
URI
http://hdl.handle.net/10541/109282
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