Preliminary experiences with sentinel lymph node detection in cases of vulvar malignancy

作者: Katalin Zámbó , Erzsébet Schmidt , Tamás Hartmann , László Kornya , Babak Dehghani

DOI: 10.1007/S00259-002-0890-6

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摘要: Lymph node status is the most important prognostic factor in vulvar malignancy. The aim of this pilot study was to explore clinical significance radionuclide lymphoscintigraphy management neoplasms. Eight patients with squamous cell carcinoma and two malignant melanoma vulva were studied 100 MBq technetium-99m nanocolloid (Sentiscint, OSSKI, Budapest) 1 day before surgery. location sentinel lymph checked by a single-head gamma camera-computer system (MB 9200, Mediso, Budapest). Vulvectomy bilateral inguinofemoral lymphadenectomy performed each case. At lymphadenectomy, separately removed histologically studied. Three ten had positive nodes (micrometastasis). Five months later one them local recurrence cancer, another inguinal tumour 6 postoperatively; third patient operated on only recently. Our preliminary results are impressive suggest that an easy reliable method for detection

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