The patients’ perspective on the impact of sentinel node biopsy in oral cancer treatment

Publication date: Available online 31 March 2016
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Géke B. Flach, Irma M. Verdonck-de Leeuw, Birgit I. Witte, W. Martin C. Klop, Robert J.J. van Es, Kees-Pieter Schepman, Remco de Bree
IntroductionAssessment of the impact of a SNB-based strategy in cT1/T2N0 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.Patients and methodsFifty-two patients (39 SNB-, 13 SNB+) completed the EORTC QLQ-C30, QLQ-H&N35, HADS, IES and SDQ at baseline, after SNB diagnosis and at 6 months follow-up. Objective shoulder measurements were performed after 2 years and interviews were taken after 4.5 months follow-up.ResultsAll scores of the questionnaires were not significantly different between SNB- and SNB+ patients. Objective shoulder functioning was similar. Most patients preferred a SNB-based strategy to an END strategy.ConclusionThe impact of a SNB-based strategy in cT1/T2N0 oral cancer patients is comparable for SNB- and SNB+ patients in terms of HRQoL, psychological distress and shoulder functioning. Most patients preferred a SNB-based strategy to an END strategy.



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