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Indocyanine green fluorescence-guided sentinel lymph node biopsy in dermato-oncology.
Stoffels, Ingo; von der Stück, Hannah; Boy, Christian; Pöppel, Thorsten; Körber, Nina; Weindorf, Maren; Dissemond, Joachim; Schadendorf, Dirk; Klode, Joachim.
Afiliación
  • Stoffels I; Department of Dermatology, Venereology and Allergology, University of Essen-Duisburg, Germany.
J Dtsch Dermatol Ges ; 10(1): 51-7, 2012 Jan.
Article en En | MEDLINE | ID: mdl-22103392
BACKGROUND: Sentinel lymph node biopsy (SLNB) for cutaneous malignancies usually carried out with radioactive nanocolloids (Tc-99m). The SLNE is controversially discussed internationally. This is especially given to the high false-negative rate up to 44 %. An alternative could be the fluorescent dye indocyanine green (ICG). MATERIAL AND METHODS: We investigated the advantage of intraoperative fluorescence detection of lymphatic vessels and SLN with a Near-Infrared (NIR) camera in comparison to conventional methods using preoperative lymphoscintigraphy and SPECT/CT in 22 patients with malignant melanoma. RESULTS: A total of 61 SLNs were removed in 22 operative procedures. In 7 SLN (10.3 %; 7/68) the histopathological assessment could demonstrate a metasta-tic involvement. 11 additional SLN (19.1 %) in 8 patients were only identified using the fluorescent labeling. Two of these additional SLN (9.1 %; 2/22) showed metastatic involvement. CONCLUSION: The ICG fluorescence-guided SLNB is an innovative imaging technique for dermato-oncology, reliable and providing additional information in the detection of SLN. Therefore SLNB with fluorescence-dye is an attractive option with intraoperative real-time lymphoscintigraphy to improve the detection of SLN in cutaneous malignancies and potential reduction of the false negative rate in SLN.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Biopsia del Ganglio Linfático Centinela / Cirugía Asistida por Computador / Verde de Indocianina / Melanoma / Microscopía Fluorescente Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Dtsch Dermatol Ges Asunto de la revista: DERMATOLOGIA Año: 2012 Tipo del documento: Article País de afiliación: Alemania

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Biopsia del Ganglio Linfático Centinela / Cirugía Asistida por Computador / Verde de Indocianina / Melanoma / Microscopía Fluorescente Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Dtsch Dermatol Ges Asunto de la revista: DERMATOLOGIA Año: 2012 Tipo del documento: Article País de afiliación: Alemania