Surgical consensus guidelines on sentinel node biopsy (SNB) in patients with oral cancer
Schilling, Clare; Stoeckli, Sando J; Vigili, Maurizio G; de Bree, Remco; Lai, Stephen Y; Alvarez, Julio; Christensen, Anders; Cognetti, David M; D'Cruz, Anil K; Frerich, Bernhard; Garrel, Renaud; Kohno, Naoyuki; Klop, Willem Martin; Kerawala, Cyrus; Lawson, Georges; McMahon, Jeremy; Sassoon, Isabel; Shaw, Richard J; Tvedskov, Jesper F; von Buchwald, Christian; McGurk, Mark
(2019) Head & neck, volume 41, issue 8, pp. 2655 - 2664
(Article)
Abstract
BACKGROUND: The eighth international symposium for sentinel node biopsy (SNB) in head and neck cancer was held in 2018. This consensus conference aimed to deliver current multidisciplinary guidelines. This document focuses on the surgical aspects of SNB for oral cancer. METHOD: Invited expert faculty selected topics requiring guidelines. Topics were
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reviewed and evidence evaluated where available. Data were presented at the consensus meeting, with live debate from panels comprising expert, nonexpert, and patient representatives followed by voting to assess the level of support for proposed recommendations. Evidence review, debate, and voting results were all considered in constructing these guidelines. RESULTS/CONCLUSION: A range of topics were considered, from patient selection to surgical technique and follow-up schedule. Consensus was not achieved in all areas, highlighting potential issues that would benefit from prospective studies. Nevertheless these guidelines represent an up-to-date pragmatic recommendation based on current evidence and expert opinion.
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Keywords: elective neck dissection, occult metastasis, operative technique, oral squamous cell cancer, sentinel node biopsy, Otorhinolaryngology, Journal Article
ISSN: 1043-3074
Publisher: John Wiley and Sons Inc.
Note: Funding Information: The 8th SNB International consensus meeting was financially supported by the Head and Neck Cancer Foundation (HNCF, http://www.hncf.org.uk). This document has been approved by the Italian Association of Head and Neck Oncology, Danish Rhinologic Society, Dutch Head and Neck Society, Swiss Head and Neck Society, Spanish Society of Maxillofacial and Head and Neck Surgery, German Society of Oral and Maxillofacial Surgery, German-Swiss-Austrian Working Group on Maxillofacial Tumours, the British Association of Oral and Maxillofacial Surgeons, and the Japanese Society for Head and Neck Surgery. [Correction added on XXX, after first online correction: “Italian Otolaryngological society” removed and “Japenese Society for Head and Neck Surgery” added to the previous sentence.]. Publisher Copyright: © 2019 Wiley Periodicals, Inc. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.
(Peer reviewed)