Sentinel-lymph-node biopsy (SLNB) for melanoma is not complication-free.
作者： N. Wasserberg , H. Tulchinsky , J. Schachter , M. Feinmesser , H. Gutman
DOI: 10.1016/J.EJSO.2004.06.021
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摘要: Abstract Background and aim Sentinel lymph node biopsy (SLNB) is reportedly associated with insignificant morbidity. The study aims at documenting SLNB-related complications identifying possible risk factors. Method Data of all melanoma patients who underwent SLNB in our medical center (1994–2002) were analysed. Procedure-related recorded. Results Three hundred nine lymphatic basins 250 explored for SLNB. Overall complication rate was 20%. Sensory morbidity significantly axillary ( p =0.04) more prevalent younger patients. use blue dye alone or combined a hand-held gamma probe had no statistically significant impact on the identification rate. There six false-negatives (2.3%), an overall false-negative 18%. A positive sentinel shortened survival =0.04). Conclusion Wound are frequent than usually reported. occurs mostly axilla. Neck highest failure. Patient age, basin location, number excised nodes may serve as prognostic factors
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