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Sentinel Lymph Node Detection Using Laser-Assisted Indocyanine Green Dye Lymphangiography in Patients with Melanoma
Joint Authors
Conkling, Nicole
Jain, Vikalp
Phillips, Brett T.
Pameijer, Colette
Source
International Journal of Surgical Oncology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Sentinel lymph node (SLN) biopsy is a vital component of staging and management of multiple cancers.
The current gold standard utilizes technetium 99 (tech99) and a blue dye to detect regional nodes.
While the success rate is typically over 90%, these two methods can be inconclusive or inconvenient for both patient and surgeon.
We evaluated a new technique using laser-assisted ICG dye lymphangiography to identify SLN.
Methods.
In this retrospective analysis, we identified patients with melanoma who were candidates for SLN biopsy.
In addition to tech99 and methylene blue, patients received a dermal injection of indocyanine green (ICG).
The infrared signal was detected with the SPY machine (Novadaq), and nodes positive by any method were excised.
Results.
A total of 15 patients were evaluated, with 40 SLNs removed.
Four patients were found to have nodal metastases on final pathology.
100% of these 4 nodes were identified by ICG, while only 75% (3/4) were positive for tech99 and/or methylene blue.
Furthermore, none of the nodes missed by ICG (4/40) had malignant cells.
Conclusion.
ICG dye lymphangiography is a reasonable alternative for locating SLNs in patients with melanoma.
Prospective studies are needed to better ascertain the full functionality of this technique.
American Psychological Association (APA)
Jain, Vikalp& Phillips, Brett T.& Conkling, Nicole& Pameijer, Colette. 2013. Sentinel Lymph Node Detection Using Laser-Assisted Indocyanine Green Dye Lymphangiography in Patients with Melanoma. International Journal of Surgical Oncology،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-506806
Modern Language Association (MLA)
Jain, Vikalp…[et al.]. Sentinel Lymph Node Detection Using Laser-Assisted Indocyanine Green Dye Lymphangiography in Patients with Melanoma. International Journal of Surgical Oncology No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-506806
American Medical Association (AMA)
Jain, Vikalp& Phillips, Brett T.& Conkling, Nicole& Pameijer, Colette. Sentinel Lymph Node Detection Using Laser-Assisted Indocyanine Green Dye Lymphangiography in Patients with Melanoma. International Journal of Surgical Oncology. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-506806
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-506806