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Sentinel lymph node biopsy for cutaneous head and neck malignancies
Sunshine Dwojak1, Kevin S Emerick
1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.
Expert Review of Anticancer Therapy
|December 16, 2014
Summary
Sentinel lymph node biopsy (SLNB) provides crucial staging information for cutaneous malignancies. This review guides the reliable application of SLNB in the head and neck region, addressing unique lymphatic challenges.
Area of Science:
- Oncology
- Surgical Pathology
- Head and Neck Surgery
Background:
- Sentinel lymph node biopsy (SLNB) is vital for staging cutaneous malignancies.
- The head and neck (HN) region presents unique lymphatic drainage complexities.
- Previous uncertainties existed regarding SLNB efficacy in the HN due to these complexities.
Purpose of the Study:
- To review the current reliable status of SLNB in the head and neck.
- To provide a guide for the application of SLNB in HN cutaneous malignancies.
Main Methods:
- Literature review of studies on SLNB in head and neck cutaneous malignancies.
- Analysis of lymphatic drainage patterns and nodal basins in the HN region.
Main Results:
- SLNB is a reliable procedure for staging HN cutaneous malignancies.
- Understanding unique HN lymphatic pathways is key to successful SLNB application.
Conclusions:
- SLNB is a valuable tool for accurate regional staging in HN cutaneous malignancies.
- This review offers guidance for optimizing SLNB in the complex HN anatomy.

