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Provedor de dados:  BABT
País:  Brazil
Título:  Problems and pitfalls in vulvar and cervical cancer sentinel node scintigraphy
Autores:  Sinzinger,Helmut
Granegger,Susanne
Palumbo,Barbara
Palumbo,Renato
Data:  2008-12-01
Ano:  2008
Palavras-chave:  Sentinel lymph node
Vulvar cancer
Cervical cancer
Scintigraphy
Resumo:  After the introduction for penile cancer, the sentinel lymph node imaging is increasingly applied in various types of cancer. After the initial learning phase, 105 patients with vulvar and 24 with cervical cancer have been investigated. In vulvar cancer all the imaged sentinel nodes were discovered by the portable probe intraoperatively. No false negative sentinel node was observed. The most critical issue is the tracer application. Performed strictly intradermally, the sentinel node shows up immediately. Concomitant use of isosulfan blue dye did not improve the results and was stopped therefore. Similarly, more superficial (intra/subendothelial) application brings up better results as compared to deeper injection in cervical cancer patients. No false negative results were seen. Apparently, an almost 100% detection is possible. Our findings clearly show that tracer application is the key for successful imaging. If not done properly, sentinel node may appear later or may even more likely be missed.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-89132008000700007
Editor:  Instituto de Tecnologia do Paraná - Tecpar
Relação:  10.1590/S1516-89132008000700007
Formato:  text/html
Fonte:  Brazilian Archives of Biology and Technology v.51 n.spe 2008
Direitos:  info:eu-repo/semantics/openAccess
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