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A prospective pilot study on the safety and feasibility of sentinel node biopsy in the neck management of conventionally assessed lymph node negative sinonasal squamous cell carcinoma

Not Applicable
Recruiting
Conditions
C30.0
C31
Nasal cavity
Malignant neoplasm of accessory sinuses
Registration Number
DRKS00022304
Lead Sponsor
niversitätsklinikum Ulm, Kliniken am oberen Eselsberg
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
25
Inclusion Criteria

• Histologically proven malignancy of the nasal vestibulum and the sinonasal tract; T1-3, N0, M0; squamous cell carcinoma
• Primary tumor must be resectable endoscopically or via limited open approach without changing the facial appearance
• Written and signed informed consent
• ECOG PS =2, Karnofsky PS = 60 %
• Age = 18
• Curative treatment intent

Exclusion Criteria

• Prior head and neck malignancy
• Entity other than squamous cell carcinoma
• Clinically suspected lymph node or distant metastases
• Serious co-morbidity, e.g. high-grade carotid artery stenosis, congestive heart failure NYHA grade 3 and 4, liver cirrhosis CHILD C
• Hemoglobin level < 9.5 g/dl
• Pregnancy or lactation
• Prior treatment of the neck of any cause
• Concurrent treatment with experimental drugs or participation in another clinical trial of any kind within 30 days prior to study screening
• Social situations that limit compliance with study requirements or patients with an unstable condition (e.g., psychiatric disorder, a recent history of drug or alcohol abuse, interfering with study compliance, within 6 months prior to screening) or otherwise thought to be unreliable or incapable of complying with the requirements of the protocol
• Patients institutionalized by official means or court order

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Surgical morbidity, Lymph node metastasis detection rate by sentinel node biopsy, Duration of hospitalization, Feasibility of PET/MR scan before surgery
Secondary Outcome Measures
NameTimeMethod
Time to regional metastasis, Time to death of any cause, Time to distant metastasis, Concordance of PET/MR positive and sentinel lymph nodes, Prognostic value of PET/MR data. Follow-up will be up to 5 years.
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