Background
This study aimed to evaluate the accuracy and oncological results of sentinel lymph node biopsy in patients with early lip and oral cavity squamous cell carcinoma (SCC) in a real‐world scenario.
Methods
Retrospective study including seven Brazilian centers.
Results
Four‐hundred and seven cN0 patients were accrued for 20 years. The rate of occult metastasis was 23.1% and 22 patients (5.4%) had regional failure. We found, for 5 years of follow‐up, 85.3% of regional recurrence‐free survival; 77.1% of disease‐free survival; 73.7% of overall survival; and 86.7% of disease‐specific survival. The rate of false‐negative cases was 5.4%.
Conclusion
In a real‐world scenario, sentinel lymph node biopsy for patients with SCC of the lip and oral cavity proved feasible in different settings and to be oncologically safe, with similar rates of occult lymph node metastasis and false‐negative cases, when compared to elective neck dissection, and with similar long‐term survival to that reported historically.
This is a case report of a rare airway Foreign Body (FB), the first reported case of an extruded prosthesis of previous cervical spine arthrodesis still attached to the wall of the hypopharynx, obstructing the airway, and requiring immediate removal. A 56-year-old man with a history of previous cervical arthrodesis (C3-C7). He presented anterior displacement of the Cage Device and erosion of the posterior wall of the hypopharynx, with the prosthesis causing partial obstruction of the larynx. After the Neurosurgery and Radiology team determined that there were no risks of cervical spine instability, we were able to remove the device in the operating room using Laryngoscope and McGill forceps with success. After proper evaluation of the case, we were able to remove the foreign body uneventfully. Given the rarity of this complication, we hope this case report can assist in the treatment and management of future cases.
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