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- Title
Lymphatic drainage patterns of oral maxillary tumors: Approachable locations of sentinel lymph nodes mainly at the cervical neck level.
- Authors
Boeve, Koos; Schepman, Kees ‐ Pieter; Vegt, Bert van der; Schuuring, Ed; Roodenburg, Jan L.; Brouwers, Adrienne H.; Witjes, Max J.
- Abstract
Background There is debate if the lymphatic drainage pattern of oral maxillary cancer is to the retropharyngeal lymph nodes or to the cervical lymph nodes. Insight in drainage patterns is important for the indication for neck treatment. The purpose of this study was to identify the lymphatic drainage pattern of oral maxillary cancer via preoperative lymphoscintigraphy. Methods Eleven consecutive patients with oral maxillary cancer treated in our center between December 1, 2012, and April 22, 2016 were studied. Sentinel lymph nodes identified by preoperative lymphoscintigraphy after injection of 99mTc-nanocolloid and by intraoperative detection using a γ-probe, were surgically removed and histopathologically examined. Results In 10 patients, sentinel lymph nodes were detected and harvested at cervical levels I, II, or III in the neck. In 2 patients, a parapharyngeal sentinel lymph node was detected. One of the harvested sentinel lymph nodes (1/19) was tumor positive. Conclusion This study suggests the likelihood of 73% of exclusively cervical level I to III sentinel lymph nodes in oral maxillary cancer. © 2016 Wiley Periodicals, Inc. Head Neck 39: 486-491, 2017
- Subjects
LYMPHATIC diseases; MAXILLARY sinus tumors; SENTINEL lymph nodes; LYMPHATIC massage; BIOPSY; CANCER
- Publication
Head & Neck, 2017, Vol 39, Issue 3, p486
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.24628