A prospective pilot trial of sentinel node biopsy for high risk non melanoma skin cancer
- Conditions
- High risk non melanoma skin cancerCancer - Non melanoma skin cancer
- Registration Number
- ACTRN12611000712909
- Lead Sponsor
- Sydney Head and Neck Cancer Institute
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 30
Participants must be able to give fully informed consent and have non melanoma skin cancer with any of the following clinicopathologic risk factors:
-size > 2cm -invasion into subcutaneous fat or tumour thickness > 5mm -poorly differentiated phenotype
-perineural invasion
-lymphovascular invasion
-local recurrence
-location of lesion on lip or ear
-immunocomprimised host (post organ transplant, chemotherapy)
-carcinoma developing in pre-existing scar
Subjects meeting any of the following criteria will be excluded from participation:
-Clinical evidence of distant metastases
-previous surgery that is believed to have altered the local lymphatic drainage since emergence of lesion
-allergy to patent blue dye or radiocolloid
-inability to complete 5 years of follow up
-Participation in concurrent experimental protocols or alternative therapies that might confound the analysis of this trial. Adjuvant therapy protocols after recurrence are acceptable.
-significant cognitive or psychiatric disorder (inability to understand informed consent)
-pregnancy/lactation
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Percentage of clinically negative patients with pathologically positive sentinel lymph nodes (containing metastases).[follow up will be ongoing for 5 years, or until death. Follow up will be every 4 months for the first two years, then every 6 months for the remaining 3 years.]
- Secondary Outcome Measures
Name Time Method Treatment related morbidity from sentinel lymph node biopsy. Morbidity will be documented as reported from patient and/or identified by clinical assessment.[Assessed within the first 4 months post op.]