Michael J. De Biasio , Ravi Mohan , Aaron Hendler , C. Jillian Tsai , Andrew McPartlin , Ali Hosni , Mirko M. Kolarski , David P. Goldstein , John R. de Almeida , Christopher M.K.L. Yao
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引用次数: 0
摘要
目的:淋巴管图是一种绘制口腔癌引流模式的成熟技术。该技术对曾接受过放射治疗或颈部切除术的患者的实用性研究尚不充分:方法:研究对象为 2021-2023 年间因复发/二次口腔癌到一家三级癌症中心就诊并接受淋巴管图绘制的患者。所有患者均有接受过放射治疗或颈部切除术的头颈部癌症病史。我们还进一步在 MEDLINE、Embase 和 Web of Science 上对曾接受过颈部治疗的口腔癌患者的淋巴管造影进行了范围性综述:在我们的单中心回顾中,共纳入了 11 名患者。73%的患者曾接受过放疗,55%的患者曾因头颈部癌症接受过颈部切除术。淋巴管造影引导的颈部切除术在9/11例患者中发现了前哨结节,只有1例患者的前哨结节病变呈阳性。在中位 10 个月的随访中,没有区域复发的报道。我们对 980 项研究进行了范围界定,发现还有 151 名患者在接受颈部治疗后因第二次口腔癌而接受了前哨节点活检。总体而言,所有研究中淋巴造影的阴性预测值为 96.7%:即使是颈部曾接受过放射治疗或手术治疗的患者,也可以对继发性或复发性口腔癌进行淋巴造影。迄今为止的文献显示,前哨淋巴结造影的阴性预测值为 97%,值得在口腔癌抢救治疗中进一步考虑。
Lymphatic mapping in second primary or recurrent oral cavity cancer with prior neck treatment: A case series and scoping review
Objectives
Lymphatic mapping is an established technique to map drainage patterns in oral cancer. Its utility in patients who have undergone prior radiation or neck dissection is not well studied.
Methods
Patients presenting to a single tertiary cancer center between 2021–2023 for a recurrent/second oral cancer that underwent lymphatic mapping were considered. All patients had a history of a head and neck cancer treated with either radiation or neck dissection. We further conducted a scoping review in MEDLINE, Embase, and Web of Science of lymphatic mapping in oral cancer patients with previous neck treatment.
Results
In our single center review, a total of 11 patients were included. 73 % received prior radiotherapy and 55 % underwent prior neck dissections for a head and neck cancer. Lymphoscintigraphy-directed neck dissections identified sentinel nodes in 9/11 patients, with only one patient who had positive sentinel node disease. There were no reports of regional recurrence at a median of 10 months follow-up. Our scoping review of 980 studies identified 151 additional patients who underwent sentinel node biopsy for a second oral cancer after previous neck treatment. Overall, the negative predictive value of lymphatic mapping in all studies was 96.7 %.
Conclusion
Lymphatic mapping is feasible in secondary or recurrent oral cavity cancers even in patients with prior radiation or surgical management of the neck. The literature to date demonstrates a negative predictive value of ∼ 97 % for sentinel node mapping and warrants further consideration in the management of salvage oral cancer.
期刊介绍:
ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.