gms | German Medical Science

80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

20.05. - 24.05.2009, Rostock

Sentinel-Node-Biopsy for cutaneous meanoma of the head and neck – an analysis of 50 cases

Meeting Abstract

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hno059

DOI: 10.3205/09hno059, URN: urn:nbn:de:0183-09hno0597

Published: July 22, 2009

© 2009 Scheich et al.
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Outline

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Introduction: Cutaneous melanoma of the head and neck are aggressive tumors with poor prognosis according to tumor thickness. We performed sentinel lymphnode biopsy (SLNB) in 50 patients (thickness 1.0–10 mm; Clark Level III-V) from 3/03 to 10/08.

Methods: Radioactive labelled microalbumine particles were injected around the tumor/scar. Injection was followed by an early dynamic as well as a late static scintigraphy. SLNB was performed on the next day under general anaesthesia using a gamma-probe.

Results: In 50 patients we resected 1–7 sentinel nodes (total 114). In three cases we could not detect a SLN. 30 patients (60%) had intraparotideal nodes. 6 patients showed melanoma-metastases in 1–3 SLNs, in one patient we detected a metastasis beside a negative SLN. In all 7 patients we performed a neck dissection and parotidectomy. In 13% of the patients the therapy strategy had to be changed because of the positive SLN, whereas 87% of the patients had not to undergo a neck dissection or parotidectomy.

Conclusion: SLNB is a safe procedure to precise staging and therapy in cutaneous melanoma of the head and neck. It is necessary to have good experience in neck and parotid surgery as well as to have a good interdisciplinary team to conduct this procedure.