Patients' perspective on the impact of sentinel node biopsy in oral cancer treatment.

Patients' perspective on the impact of sentinel node biopsy in oral cancer treatment.

Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Mar 31;

Authors: Flach GB, Verdonck-de Leeuw IM, Witte BI, Klop WM, van Es RJ, Schepman KP, de Bree R

Abstract
OBJECTIVE: Assessment of the impact of a sentinel node biopsy (SNB)-based strategy in cT1/T2 N0 oral cancer on the course of health related quality of life, psychological distress, and shoulder disability, and evaluation of the patients' perspective on neck management strategies.
STUDY DESIGN: Fifty-two patients (39 SNB negative; 13 SNB positive) completed the European Organization for Research and Treatment of Cancer (EORTC) questionnaires-QLQ-C30 and QLQ-H&N35, and the HADS, IES, and SDQ questionnaires at baseline, after SNB diagnosis and at the 6-month follow-up. Objective shoulder measurements were performed after 2 years and interviews were conducted after 4.5 months of follow-up.
RESULTS: All the scores of the questionnaires were not significantly different between SNB-negative and SNB-positive patients. Objective shoulder functioning was similar. Most patients preferred a SNB-based strategy to an elective neck dissection strategy.
CONCLUSIONS: The impact of a SNB-based strategy in patients with cT1/T2 N0 oral cancer is comparable for SNB-negative and SNB-positive patients in terms of health-related quality of life, psychological distress and shoulder functioning. Most patients preferred the SNB-based strategy over the elective neck dissection strategy.

PMID: 27262509 [PubMed - as supplied by publisher]

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