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Accession number;04A0146745
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| Title;STUDY OF SENTINEL LYMPH NODE BIOPSY IN N0 ORAL CANCER |
| Author;
KIHARA KEIICHI
(Natl. Def. Med. Coll.)
KONO NAOYUKI
(Natl. Def. Med. Coll.)
TANABE TETSUYA
(Natl. Def. Med. Coll.)
KITAHARA SATOSHI
(Natl. Def. Med. Coll.)
KOSUDA SHIGERU
(Natl. Def. Med. Coll.)
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Journal Title;Head and Neck Cancer
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Journal Code:Y0503A
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ISSN:0911-4335
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VOL.28;NO.1;PAGE.108-113(2002)
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| Figure&Table&Reference;FIG.2, TBL.3, REF.16 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;BACKGROUND. Management of cervical lymph node metastasis is an important factor for controling head and neck cancers. However, the detection rate of truly metastatic lymph node is approximately 50%. Sentinel lymph node is reported to be effective in breast and skin cancer, so sentinel lymph node biopsy in clinical N0 oral cancer was studied. METHODS. For 4 patients of clinical N0 oral cancer, peritumoral submucosal quadrants injection of 99mTc-tin colloid was performed. All patients underwent neck dissection. Before and during operation, it was compared to identify radioactive area using a gamma probe. After surgery, the radioactivity of sentinel lymph node with a well type scintilation counter was compared to that of pathological specimen. RESULTS. Sentinel lymph nodes of all patients were detected. Two sentinel lymph node were pathologically negative and two sentinel lymph nodes were pathologically positive. False negative of sentinel lymph nodes were not seen. CONCLUSION. Sentinel lymph node study was thought to be effective for clinical N0 oral cancer. It was suggested that neck dissection for pathological N0 lymph node patient could be avoided by using sentinel lymph node biopsy. (author abst.) |
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