Surgical consensus guidelines on sentinel node biopsy (SNB) in patients with oral cancer. Issue 8 (21st March 2019)

• Record Type: Journal Article
• Authors: 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
• Is Part Of: Head & neck. Volume 41:Issue 8(2019)
• Page Start: 2655
• Page End: 2664
• Publication Date: 2019-03-21
• Subjects: elective neck dissection -- occult metastasis -- operative technique -- oral squamous cell cancer -- sentinel node biopsy; Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.25739
• Languages: English
• ISSNs: 1043-3074

Abstract

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 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.