Lymphatic mapping and sentinel node biopsy: a surgical perspective.
Semin Nucl Med
; 35(2): 129-34, 2005 Apr.
Article
em En
| MEDLINE
| ID: mdl-15765375
ABSTRACT
Lymphatic mapping and sentinel node biopsy has been rapidly and widely adopted by the surgical community as an oncologic equivalent elective lymphadenectomy for regional node staging in both melanoma and breast cancer. Despite being the de facto standard of care, it remains a highly unstandardized procedure surrounded by many unresolved controversies for surgeons who perform the procedure. The controversies are as basic as the definition of the real sentinel node and as specific as the appropriate localization pharmaceutical(s), site of injection, timing of the injection, and utility of external scintigraphy (dynamic versus. static). Furthermore, questions regarding surgical training, indications, and contraindications remain unanswered. Because there are few long-term studies stratified by technique and indication, the resolution of these surgical controversies are unlikely in the near future.
Buscar no Google
Bases de dados:
MEDLINE
Assunto principal:
Neoplasias da Mama
/
Biópsia de Linfonodo Sentinela
/
Tomografia por Emissão de Pósitrons
/
Linfonodos
/
Estadiamento de Neoplasias
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Semin Nucl Med
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Estados Unidos