Biópsia do gânglio sentinela no carcinoma pavimentocelular da língua

Autores

  • Marta Mariano Otorhinolaryngology Department, Centro Hospitalar Universitário de Lisboa Central
  • Luís Castelhano Otorhinolaryngology Department, Centro Hospitalar de Lisboa Ocidental
  • Marta Melo Otorhinolaryngology Department, Hospital Prof. Doutor Fernando Fonseca
  • Susana Pereira Otorhinolaryngology Department, Centro Hospitalar Universitário de Lisboa Central
  • Luís Oliveira Otorhinolaryngology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil
  • Pedro Montalvão Otorhinolaryngology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil
  • Miguel Magalhães Otorhinolaryngology Department, Instituto Português de Oncologia de Lisboa Francisco Gentil

DOI:

https://doi.org/10.34631/sporl.968

Palavras-chave:

biópsia do gânglio sentinela, carcinoma pavimento celular, língua

Resumo

Objetivo: Reportar os resultados da biópsia do gânglio sentinela (BGS) no carcinoma pavimentocelular (CPC) da língua.

Desenho do Estudo: Estudo retrospetivo observacional.

Material e Métodos: Avaliação dos processos clínicos dos doentes com CPC da língua cT1-2N0 submetidos a BGS. Foi obtida uma amostra de 23 doentes. A histologia da peça de esvaziamento ganglionar cervical (EGC) constituiu o gold standard para diagnóstico de metástases ganglionares cervicais. O período médio de seguimento foi de 29.7 meses.

Resultados: Dos 47 gânglios sentinela colhidos, 17% foram positivos para metástases de CPC, correspondentes a 26.1% dos doentes. Dos 18 doentes submetidos a EGC, 22.2% apresentavam metástases de CPC. Nesta amostra, a BGS apresentou sensibilidade de 75% e valor preditivo negativo (VPN) de 83.3%.

Conclusões: A BGS demonstrou valores elevados de sensibilidade e de VPN nesta série. A utilização mais sistemática desta técnica permitirá evitar EGC desnecessários e aumentar a sua exatidão

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Publicado

2022-03-30

Como Citar

Mariano, M., Castelhano, L., Melo, M., Pereira, S., Oliveira, L., Montalvão, P., & Magalhães, M. (2022). Biópsia do gânglio sentinela no carcinoma pavimentocelular da língua. Revista Portuguesa De Otorrinolaringologia E Cirurgia De Cabeça E Pescoço, 60(1), 23-27. https://doi.org/10.34631/sporl.968

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