Diagnostic value of sentinel lymph node biopsy in head and neck cancer: a meta-analysis
Identifieur interne : 002A58 ( Pmc/Checkpoint ); précédent : 002A57; suivant : 002A59Diagnostic value of sentinel lymph node biopsy in head and neck cancer: a meta-analysis
Auteurs : C. F. Thompson ; M. A. St. John ; G. Lawson ; T. Grogan ; D. Elashoff ; A. H. MendelsohnSource :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [ 0937-4477 ] ; 2012.
Abstract
This study aimed to evaluate the diagnostic reliability of sentinel lymph node biopsy in patients with squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, and larynx by reviewing the published literature. A systematic literature review was performed using MEDLINE from 1970 to 2011. With Boolean search strings, search terms included sentinel node, supraglottic, supraglottis, tongue, head and neck, oral, pharynx, laryngeal, and larynx. Additional studies were identified through article references. Duplicate data and articles were excluded based on treating institution and study inclusion time period. Additional studies were excluded if the head and neck subsite or tumor stage was not specifically identified or if the sentinel lymph node biopsy occurred in previously treated necks. All patients had sentinel lymph node biopsy performed followed by a concurrent neck dissection. Twenty-six studies met our inclusion criteria (
Url:
DOI: 10.1007/s00405-012-2320-0
PubMed: 23263205
PubMed Central: 4167685
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F." last="Thompson">C. F. Thompson</name></author><author><name sortKey="St John, M A" sort="St John, M A" uniqKey="St John M" first="M. A." last="St. John">M. A. St. John</name></author><author><name sortKey="Lawson, G" sort="Lawson, G" uniqKey="Lawson G" first="G." last="Lawson">G. Lawson</name></author><author><name sortKey="Grogan, T" sort="Grogan, T" uniqKey="Grogan T" first="T." last="Grogan">T. Grogan</name></author><author><name sortKey="Elashoff, D" sort="Elashoff, D" uniqKey="Elashoff D" first="D." last="Elashoff">D. Elashoff</name></author><author><name sortKey="Mendelsohn, A H" sort="Mendelsohn, A H" uniqKey="Mendelsohn A" first="A. H." last="Mendelsohn">A. H. Mendelsohn</name></author></analytic><series><title level="j">European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</title><idno type="ISSN">0937-4477</idno><idno type="eISSN">1434-4726</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">This study aimed to evaluate the diagnostic reliability of sentinel lymph node biopsy in patients with squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, and larynx by reviewing the published literature. A systematic literature review was performed using MEDLINE from 1970 to 2011. With Boolean search strings, search terms included sentinel node, supraglottic, supraglottis, tongue, head and neck, oral, pharynx, laryngeal, and larynx. Additional studies were identified through article references. Duplicate data and articles were excluded based on treating institution and study inclusion time period. Additional studies were excluded if the head and neck subsite or tumor stage was not specifically identified or if the sentinel lymph node biopsy occurred in previously treated necks. All patients had sentinel lymph node biopsy performed followed by a concurrent neck dissection. Twenty-six studies met our inclusion criteria (<italic>n</italic> = 766 patients). The pooled sensitivity and negative predictive value of SLNB for all head and neck tumors was 95 % (95 % CI 91–99 %) and 96 % (95 %CI 94–99 %), respectively. The overall sensitivity and negative predictive value of SLNB in the subset of oral cavity tumors (<italic>n</italic> = 631) was 94 % (95 % CI 89–98 %) and 96 % (95 % CI 93–99 %), respectively. One-hundred percent of oropharyngeal (<italic>n</italic> = 72), hypopharyngeal (<italic>n</italic> = 5), and laryngeal (<italic>n</italic> = 58) tumor sentinel lymph biopsy results correlated with subsequent neck dissections giving a negative predictive value of 100 %, showing that, sentinel lymph node biopsy is a valid diagnostic technique to correctly stage regional metastases in patients with head and neck squamous cell carcinoma.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9002937</journal-id><journal-id journal-id-type="pubmed-jr-id">1603</journal-id><journal-id journal-id-type="nlm-ta">Eur Arch Otorhinolaryngol</journal-id><journal-id journal-id-type="iso-abbrev">Eur Arch Otorhinolaryngol</journal-id><journal-title-group><journal-title>European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</journal-title></journal-title-group><issn pub-type="ppub">0937-4477</issn><issn pub-type="epub">1434-4726</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23263205</article-id><article-id pub-id-type="pmc">4167685</article-id><article-id pub-id-type="doi">10.1007/s00405-012-2320-0</article-id><article-id pub-id-type="manuscript">NIHMS606706</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Diagnostic value of sentinel lymph node biopsy in head and neck cancer: a meta-analysis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Thompson</surname><given-names>C. F.</given-names></name><aff id="A1">David Geffen School of Medicine, UCLA Medical Center, 10833 Le Conte Ave, 62-132 CHS, Los Angeles, CA 90095-1624, USA</aff></contrib><contrib contrib-type="author"><name><surname>St. John</surname><given-names>M. A.</given-names></name><aff id="A2">David Geffen School of Medicine, UCLA Medical Center, 10833 Le Conte Ave, 62-132 CHS, Los Angeles, CA 90095-1624, USA</aff></contrib><contrib contrib-type="author"><name><surname>Lawson</surname><given-names>G.</given-names></name><aff id="A3">Université Catholique de Louvain Centre Hospitalier Universitaire de Mont-Godinne, Yvoir, Belgium</aff></contrib><contrib contrib-type="author"><name><surname>Grogan</surname><given-names>T.</given-names></name><aff id="A4">David Geffen School of Medicine, UCLA Medical Center, 10833 Le Conte Ave, 62-132 CHS, Los Angeles, CA 90095-1624, USA</aff></contrib><contrib contrib-type="author"><name><surname>Elashoff</surname><given-names>D.</given-names></name><aff id="A5">David Geffen School of Medicine, UCLA Medical Center, 10833 Le Conte Ave, 62-132 CHS, Los Angeles, CA 90095-1624, USA</aff></contrib><contrib contrib-type="author"><name><surname>Mendelsohn</surname><given-names>A. H.</given-names></name><aff id="A6">David Geffen School of Medicine, UCLA Medical Center, 10833 Le Conte Ave, 62-132 CHS, Los Angeles, CA 90095-1624, USA</aff></contrib></contrib-group><author-notes><corresp id="CR1"><email>chrthompson@mednet.ucla.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>16</day><month>7</month><year>2014</year></pub-date><pub-date pub-type="epub"><day>22</day><month>12</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>9</month><year>2014</year></pub-date><volume>270</volume><issue>7</issue><fpage>2115</fpage><lpage>2122</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s00405-012-2320-0</pmc-comment>
<permissions><copyright-statement>© Springer-Verlag Berlin Heidelberg 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><p id="P1">This study aimed to evaluate the diagnostic reliability of sentinel lymph node biopsy in patients with squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, and larynx by reviewing the published literature. A systematic literature review was performed using MEDLINE from 1970 to 2011. With Boolean search strings, search terms included sentinel node, supraglottic, supraglottis, tongue, head and neck, oral, pharynx, laryngeal, and larynx. Additional studies were identified through article references. Duplicate data and articles were excluded based on treating institution and study inclusion time period. Additional studies were excluded if the head and neck subsite or tumor stage was not specifically identified or if the sentinel lymph node biopsy occurred in previously treated necks. All patients had sentinel lymph node biopsy performed followed by a concurrent neck dissection. Twenty-six studies met our inclusion criteria (<italic>n</italic> = 766 patients). The pooled sensitivity and negative predictive value of SLNB for all head and neck tumors was 95 % (95 % CI 91–99 %) and 96 % (95 %CI 94–99 %), respectively. The overall sensitivity and negative predictive value of SLNB in the subset of oral cavity tumors (<italic>n</italic> = 631) was 94 % (95 % CI 89–98 %) and 96 % (95 % CI 93–99 %), respectively. One-hundred percent of oropharyngeal (<italic>n</italic> = 72), hypopharyngeal (<italic>n</italic> = 5), and laryngeal (<italic>n</italic> = 58) tumor sentinel lymph biopsy results correlated with subsequent neck dissections giving a negative predictive value of 100 %, showing that, sentinel lymph node biopsy is a valid diagnostic technique to correctly stage regional metastases in patients with head and neck squamous cell carcinoma.</p></abstract><kwd-group><kwd>Sentinel lymph node</kwd><kwd>Head and neck</kwd><kwd>Oral</kwd><kwd>pharynx</kwd><kwd>Squamous cell carcinoma</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Elashoff, D" sort="Elashoff, D" uniqKey="Elashoff D" first="D." last="Elashoff">D. Elashoff</name><name sortKey="Grogan, T" sort="Grogan, T" uniqKey="Grogan T" first="T." last="Grogan">T. Grogan</name><name sortKey="Lawson, G" sort="Lawson, G" uniqKey="Lawson G" first="G." last="Lawson">G. Lawson</name><name sortKey="Mendelsohn, A H" sort="Mendelsohn, A H" uniqKey="Mendelsohn A" first="A. H." last="Mendelsohn">A. H. Mendelsohn</name><name sortKey="St John, M A" sort="St John, M A" uniqKey="St John M" first="M. A." last="St. John">M. A. St. John</name><name sortKey="Thompson, C F" sort="Thompson, C F" uniqKey="Thompson C" first="C. F." last="Thompson">C. F. Thompson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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