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头颈癌中的哨位淋巴结活检(SNB)最近被应用于口腔鳞癌的临床分期确定。该文报道T1-T2N0口腔鳞癌的单中心SNB结果。对2007-2012年间90例接受SNB、未接受其他治疗的患者进行回顾分析。活检过程包括淋巴结闪烁成像、术中蓝染检测、γ射线探测指引和组织病理学检查。对SNB结果阳性的患者行颈淋巴清扫术,阴性患者密切随访并行B超引导下的细胞学穿吸活检。结果:淋巴结闪烁成像的检出率为98%(88/90),手术检出率为99%(87/88)。
Sentinel lymph node biopsy (SNB) in head and neck cancer has recently been applied to the clinical staging of oral squamous cell carcinoma. This article reports the single center SNB results for T1-T2N0 oral squamous cell carcinoma. Ninety patients who underwent SNB between 2007 and 2012 who did not receive other treatments were retrospectively analyzed. Biopsy procedures include lymphoscintigraphy, intraoperative blue staining, gamma-ray detection guidelines, and histopathological examination. Cervical lymphadenectomy was performed on patients with positive SNB results. The negative patients were closely followed up and underwent cytology biopsy guided by B ultrasound. Results: The detection rate of lymphatic scintigraphy was 98% (88/90) and the detection rate was 99% (87/88).