Optical molecular imaging can differentiate metastatic from benign lymph nodes in head and neck cancer.

Abstract:

:Identification of lymph node (LN) metastasis is essential for staging of solid tumors, and as a result, surgeons focus on harvesting significant numbers of LNs during ablative procedures for pathological evaluation. Isolating those LNs most likely to harbor metastatic disease can allow for a more rigorous evaluation of fewer LNs. Here we evaluate the impact of a systemically injected, near-infrared fluorescently-labeled, tumor-targeting contrast agent, panitumumab-IRDye800CW, to facilitate the identification of metastatic LNs in the ex vivo setting for head and neck cancer patients. Molecular imaging demonstrates a significantly higher mean fluorescence signal in metastatic LNs compared to benign LNs in head and neck cancer patients undergoing an elective neck dissection. Molecular imaging to preselect at-risk LNs may thus allow a more rigorous examination of LNs and subsequently lead to improved prognostication than regular neck dissection.

journal_name

Nat Commun

journal_title

Nature communications

authors

Nishio N,van den Berg NS,van Keulen S,Martin BA,Fakurnejad S,Teraphongphom N,Chirita SU,Oberhelman NJ,Lu G,Horton CE,Kaplan MJ,Divi V,Colevas AD,Rosenthal EL

doi

10.1038/s41467-019-13076-7

subject

Has Abstract

pub_date

2019-11-06 00:00:00

pages

5044

issue

1

issn

2041-1723

pii

10.1038/s41467-019-13076-7

journal_volume

10

pub_type

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