Sentinel node mapping for gastric cancer

Sentinel lymph node mapping is the standard of care for patients with malignant melanoma and breast cancer. Recently, SLN mapping was introduced to the field of gastric cancer. To evaluate SLN mapping in patients with gastric cancer. In 43 patients with gastric cancer, open intraoperative subserosal...

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Veröffentlicht in:The Israel Medical Association journal 2006-01, Vol.8 (1), p.40-43
Hauptverfasser: Rabin, Igor, Chikman, Bar, Halpern, Zvi, Wassermann, Ilan, Lavy, Ron, Gold-Deutch, Ruth, Sandbank, Judith, Halevy, Ariel
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container_title The Israel Medical Association journal
container_volume 8
creator Rabin, Igor
Chikman, Bar
Halpern, Zvi
Wassermann, Ilan
Lavy, Ron
Gold-Deutch, Ruth
Sandbank, Judith
Halevy, Ariel
description Sentinel lymph node mapping is the standard of care for patients with malignant melanoma and breast cancer. Recently, SLN mapping was introduced to the field of gastric cancer. To evaluate SLN mapping in patients with gastric cancer. In 43 patients with gastric cancer, open intraoperative subserosal dye injection in four opposing peritumoral points was used. Ten minutes following dye injection, stained LNs were located, marked and examined postoperatively from the surgical specimen. SLN mapping was performed in 43 patients with gastric cancer; 782 lymph nodes were harvested and evaluated. SLNs were stained in 34 of the patients (79.1%) with a mean of 2.85 SLNs per patient. The false negative rate was 20.9%, the positive predictive value 100%, the negative predictive value 78.6% and the sensitivity 86.9%. SLN mapping in patients with gastric cancer is feasible and easy to perform. SLN mapping may mainly affect the extent of lymph node dissection, and to a lesser degree gastric resection. However, more data are needed.
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subjects Adult
Aged
Female
Humans
Intraoperative Period
Lymphatic Metastasis
Male
Middle Aged
Sentinel Lymph Node Biopsy - methods
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
title Sentinel node mapping for gastric cancer
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