Drainage lymphatique; Ganglion sentinelle; Head and neck; Lymphatic drainage; Lymphoscintigraphie; Lymphoscintigraphy; Sentinel node; Skin malignancy; Tumeur cutanée; Tête et cou; Adolescent; Adult; Aged; Aged, 80 and over; Child; Female; Head and Neck Neoplasms/pathology; Humans; Lymphatic Metastasis/diagnostic imaging; Lymphatic Metastasis/pathology; Male; Middle Aged; Retrospective Studies; Sentinel Lymph Node Biopsy; Skin Neoplasms/pathology; Young Adult; Head and Neck Neoplasms; Lymphatic Metastasis; Skin Neoplasms; Anatomy
Abstract :
[en] [en] INTRODUCTION: The objective of the study was to determine the preferential territories of drainage of skin areas of the face and neck. This knowledge can guide the strategies of diagnostic (search for primary tumor skin to cervical lymphadenopathy) and treatment (determination of the extent of neck dissection to achieve in case of skin tumor).
MATERIALS AND METHODS: This is a retrospective study of the surgical procedures of sentinel node research between January 2003 and April 2011. The lymphoscintigraphic and intraoperative localization of the initial tumor site and sentinel lymph node were collected.
RESULTS AND DISCUSSION: One hundred and thirty-seven patients were included in the study. The parotid gland is a privileged territory of drainage of the head and neck skin. At cervical level, the submental region drains the lower and median part of the face (lips and chin). The posterior segments (IIb and V sector) were represented for the posterior locations of the head (ear, vertex), and cervical region.
Lagier, Aude ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'ORL, d'audiophonologie et de chir. cervico-faciale ; Laboratoire d'anatomie, faculté de médecine de Marseille, Aix-Marseille université, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France, Service d'ORL et chirurgie cervico-faciale, CHU Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France. Electronic address: aude.lagier@ap-hm.fr
Pénicaud, M; Service d'ORL et chirurgie cervico-faciale, CHU Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
Le Corroller, T; Laboratoire d'anatomie, faculté de médecine de Marseille, Aix-Marseille université, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France
Guenoun, D; Laboratoire d'anatomie, faculté de médecine de Marseille, Aix-Marseille université, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France
Cammilleri, S; Service de médecine nucléaire, CHU Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
Champsaur, P; Laboratoire d'anatomie, faculté de médecine de Marseille, Aix-Marseille université, 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France
Dessi, P; Service d'ORL et chirurgie cervico-faciale, CHU Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
Grob, J J; Service de dermatologie et cancérologie cutanée, CHU Timone Adultes, 264, rue Saint-Pierre, 13885 Marseille cedex 05, France
Giovanni, A; Service d'ORL et chirurgie cervico-faciale, CHU Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
Fakhry, N; Service d'ORL et chirurgie cervico-faciale, CHU Timone Adultes, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
Language :
French
Title :
Drainage lymphatique des territoires cutanés de la tête et du cou : approche in vivo par la localisation du ganglion sentinelle.
Alternative titles :
[en] Lymphatic drainage of skin areas of head and neck: in vivo approach by the location of the sentinel node.
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