Oncologic and functional results between sentinel lymph node biopsy and elective neck dissection in cT1/2N0 maxillary squamous cell carcinoma

被引:6
作者
Fang, Qigen [1 ,2 ]
Yuan, Junhui [2 ,3 ]
Zhang, Xu [1 ,2 ]
Dai, Liyuan [1 ,2 ]
Luo, Ruihua [1 ,2 ]
Xu, Chunmiao [2 ,3 ]
机构
[1] Zhengzhou Univ, Dept Head Neck & Thyroid, Affiliated Canc Hosp, Zhengzhou 450008, Peoples R China
[2] Henan Canc Hosp, Zhengzhou 450008, Peoples R China
[3] Zhengzhou Univ, Affiliated Canc Hosp, Dept Radiol, Zhengzhou 450008, Peoples R China
关键词
Sentinel lymph node biopsy; Elective neck dissection; Quality of life; Maxillary squamous cell carcinoma; Survival analysis; ALVEOLUS; RECURRENCE; SURVIVAL; GINGIVA; IMPACT;
D O I
10.1016/j.oraloncology.2024.106810
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To evaluate the oncologic safety and quality of life associated with the use of sentinel lymph node biopsy (SLNB) as compared to elective neck dissection (END) in patients with cT1/2N0 maxillary squamous cell carcinoma. Methods: This study constituted a retrospective analysis of consecutively treated patients who underwent SLNB or END, with data collected prospectively. We analyzed the impact of the different neck procedures on regional control and disease-specific survival via the Cox model. Patients in both groups completed the University of Washington Quality of Life questionnaire. Results: We included a total of 130 patients, with 47 receiving SLNB. In all cases, the sentinel lymph node could be identified, and of these, 5 had a positive result, yielding a sensitivity of 83.3 %, a specificity of 100 %, a false negative rate of 16.7 %, and a negative predictive value of 97.6 %. The sensitivity, specificity, false negative rate, and negative predictive value of END in detecting occult metastasis were 64.3 %, 100 %, 35.7 %, and 93.2 %, respectively. In comparison to END after propensity score matching, SLNB exhibited no significant difference in its effects on regional control (p = 0.519, HR: 1.05, 95 % CI: 0.52-1.93) and disease-specific survival (p = 0.634, HR: 1.22, 95 % CI: 0.53-1.99). Patients in SLNB group showed significantly higher mean scores of shoulder and taste domains at 3 months, 6 months, and 12 months postoperatively compared to those in END group. Conclusion: SLNB could act as a viable alternative to END in cT1/2N0 maxillary squamous cell carcinoma with comparable prognosis and better quality of life.
引用
收藏
页数:7
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