Demir Deniz
Department of Otorhinolaryngology, Sakarya University School of Medicine, Sakarya, Turkey.
Turk Arch Otorhinolaryngol. 2016 Mar;54(1):35-38. doi: 10.5152/tao.2016.1129. Epub 2016 Apr 26.
The management of the clinically N0 neck in patients with head and neck cancers still remains controversial. Elective neck dissection is traditionally recommended when the subside of the head and neck, such as the oral cavity and supraglottic area, confers at least a 15-20% risk of lymphatic spread. However, elective neck dissection may cause an increase in patient morbidity and mortality rates. The emergence of sentinel lymph biopsy provides the possibility of accurate pathological staging of the cervical node with a less invasive procedure. The present review will summarize the role of sentinel lymph node biopsy and its application areas when evaluating occult metastases in patients with head and neck cancers.
头颈部癌症患者临床N0颈部的处理仍存在争议。传统上，当头颈部区域（如口腔和声门上区）存在至少15%-20%的淋巴转移风险时，建议进行选择性颈部清扫术。然而，选择性颈部清扫术可能会导致患者发病率和死亡率增加。前哨淋巴结活检的出现为通过侵入性较小的手术对颈部淋巴结进行准确病理分期提供了可能。本综述将总结前哨淋巴结活检在评估头颈部癌症患者隐匿性转移时的作用及其应用领域。
