Sentinel lymph nodes study in 30 cases of melanoma

被引:5
|
作者
Ishihara, T [1 ]
Nakamura, A [1 ]
Kageshita, T [1 ]
Ono, T [1 ]
机构
[1] Kumamoto Univ, Sch Med, Dept Dermatol, Div Plast & Reconstruct Surg, Kumamoto 8600811, Japan
来源
JOURNAL OF DERMATOLOGY | 2001年 / 28卷 / 07期
关键词
sentinel lymph node; melanoma; patent blue; false negative;
D O I
10.1111/j.1346-8138.2001.tb00148.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
In 30 cases of melanoma, we attempted to detect sentinel lymph nodes using 1-2% patent blue dye and were able to detect them in 27 cases (90%): 19 cases out of 21 cases in the groin area (90%), 5 out of 5 cases in the axilla area (100%), and 3 out of 4 cases in the neck area (75%). The numbers of sentinel lymph nodes were one in 16 cases, two in 7 cases, three in 2 cases, and four in 2 cases. The cases with three and four nodes were all in the groin area. In 22 cases, tumor metastasis was negative in sentinel lymph nodes. Sentinel lymph nodes were detected in 36 out of 174 samples, and tumor metastasis was negative except in these sentinel lymph nodes (false negative 0%). In the groin area, sentinel lymph nodes were located around the femoral and great saphenous vein junction. In the axilla area, sentinel lymph nodes were located in the central, lateral and subscapular lymph nodes. In the head and neck area, sentinel lymph nodes were found in the submandibular and occipital lymph nodes. The positions of sentinel lymph nodes differed a little with tumor location. By accumulating cases, it should become possible to predict the positions of sentinel lymph nodes before operations. Sentinel lymph node biopsy is easy and requires only a small incision.
引用
收藏
页码:347 / 352
页数:6
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