Create Account | Sign In: Author or Forum

Search Symptoms

Category: Dermatology | Oncology | Pathology | Surgery | Journal

Back to Journal Articles

Sentinel Lymph Node Biopsy Underused in High-Risk SCC

Last Updated: November 16, 2017.

Sentinel lymph node biopsy is underused for high-risk squamous cell carcinoma of the skin, according to a research letter published online Nov. 15 in JAMA Dermatology.

THURSDAY, Nov. 16, 2017 (HealthDay News) -- Sentinel lymph node biopsy (SLNB) is underused for high-risk squamous cell carcinoma (SCC) of the skin, according to a research letter published online Nov. 15 in JAMA Dermatology.

Omeed Ahadiat, from Keck Medicine of the University of Southern California in Los Angeles, and colleagues created a database of all high-risk patients with SCC treated at the University of Southern California starting in 2006 and documented patient and tumor characteristics, including treatment modality and whether SLNB was performed.

The researchers found that SLNB procedures were performed for less than 0.1 percent of all patients with high-risk SCC tumors. Fourteen percent of patients underwent complete lymph node dissections; of these, 56.7 percent had microscopic tumor metastasis to local lymph nodes, while 43.3 percent were free of metastasis.

"Overall, we found prophylactic lymph node dissection to be overused and SLNB is underused in high-risk SCC," the authors write. "Given the cost and morbidity associated with prophylactic lymph node dissection, patients may benefit from a less invasive SLNB procedure before considering dissection."

Abstract/Full Text (subscription or payment may be required)


Previous: Accurate Diagnosis Seen With Photographs of Skin Conditions Next: AHA: Supervised Exercise Ups 6-Minute Walking Distance in PAD

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion: