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Sentinel lymph node biopsy neck2/18/2024 This will show whether the cancer has spread and if more surgery is needed. Methods: A retrospective, multicenter cohort study included 390 patients staged by END and 488 by SLNB. Comparisons regarding accuracy to the routinely used elective neck dissection (END) are lacking in literature. People with early stage mouth cancer have a minor diagnostic procedure to remove the main lymph gland linked to the cancer unless they need more extensive surgery at the same time. Background: Sentinel lymph node biopsy (SLNB) has been introduced as a diagnostic staging modality for detection of occult metastases in patients with early stage oral cancer. Healthcare professionals (members of head and neck cancer multidisciplinary teams) offer sentinel lymph node biopsy as an alternative to elective neck dissection to people with early stage oral cavity cancer who do not need cervical access as part of surgical management.Ĭommissioners (NHS England) ensure that they commission services which provide sentinel lymph node biopsy as an alternative to elective neck dissection for people with early stage oral cavity cancer who do not need cervical access as part of surgical management. Service providers (head and neck cancer secondary and tertiary care services) have systems in place for people with early stage oral cavity cancer who do not need cervical access as part of surgical management to have sentinel lymph node biopsy as an alternative to elective neck dissection. The two options for patients are either removal of a large number of nodes (called neck dissection) or sentinel lymph node biopsy (removal of only one or two. What the quality statement means for different audiences The majority of these neck dissections may be unnecessary.
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