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A Prospective randomised trial of sentinel node biopsy for high risk non-melanoma skin cancer.

Not Applicable
Conditions
on melanoma skin cancer
Non melanoma skin cancer
Cancer - Non melanoma skin cancer
Registration Number
ACTRN12611000713998
Lead Sponsor
Sydney Head and Neck Cancer Institute
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
300
Inclusion Criteria

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

Exclusion Criteria

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
-significant cognitive or psychiatric disorder (inability to understand informed consent)
-pregnancy/lactation
-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.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Disease free survival. <br><br>Disease-free survival is the time from the patient's randomisation to treatment group until the date of diagnosis of recurrent disease in the local regional lymph nodes, or distant metastases.[All subjects all followed until death, or at least 5 years. Follow up intervals are every 4 months for the first 2 years, the every 6 months for the remaining 3 years.];Overall survival.<br><br>Overall survival is the time from the patient's randomisation of treatment to the date of death from any cause.[All subjects all followed until death, or at least 5 years. Follow up intervals are every 4 months for the first 2 years, the every 6 months for the remaining 3 years.]
Secondary Outcome Measures
NameTimeMethod
Disease-specific survival.<br><br>This is the time from the patient's randomisation until the date of the patients death due to non melanoma skin cancer.[All subjects all followed until death, or at least 5 years. Follow up intervals are every 4 months for the first 2 years, the every 6 months for the remaining 3 years.];Quality of life in both patient groups will be assessed using the QOL tools EORTC QLQ-H&N35 and EORTC QLQ-C30.[Patients in both groups will be asked to complete quality of life questionnaires prior to randomisation, and at the 4 months and yearly after their surgery until 5 years reached.<br><br>Mean individual changes in quality of life will be compared between treatment arms.]
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