Health Condition 1: C099- Malignant neoplasm of tonsil, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients above 18 years of age 2.Histologically proven squamous cell carcinoma of tonsil 3.T1-T4 tumours 4.Patients giving consent for surgical modality of treatment
Exclusion criteria
Exclusion criteria: 1.Patients who are poor candidates for general anesthesia 2.Tumours with unresectable neck nodes , vessel encasement of either the primary or the neck node 3.No clinical or radiological evidence of metastatic lymphadenopathy. 4.Previous surgery or radiotherapy to head and neck
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To identify the sentinel node in carcinoma tonsil by radionucleide injection followed by SPECT â??CT To identify sentinel node in carcinoma tonsil by intraoperative use of gamma probe To identify sentinel node in carcinoma tonsil by intraoperative peritumoural injection of 1% methylene blue. To confirm metastatic deposit by serial step sectioning in all lymph nodal groups and retropharyngeal nodes . To determine p-16 positivity status in all patients . Timepoint: Day 1 of inclusion of the patient in to the study | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To determine incidence of retropharyngeal lymph node involvement 2. To determine factors predicting retropharyngeal lymph node involvementTimepoint: none | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi