NDLI: Sentinel lymph node biopsy in Japan.

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Sentinel lymph node biopsy in Japan.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Uhara, Hisashi Takata, Minoru Saida, Toshiaki
Description	Country affiliation: Japan Author Affiliation: Uhara H ( Department of Dermatology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan. uhara@shinshu-u.ac.jp)
Abstract	Similar to the practice in Western countries, intraoperative lymphatic mapping and selected lymphadenectomy (SLNB) have been validated and are widely performed for the staging of melanoma in Japan. Recent studies have shown that approximately 90% (73/81) of university hospitals and several cancer hospitals routinely perform SLNB, and half of all melanoma patients receive this examination. SLNB is performed according to a variation of the standard procedure described by Morton and Cochran. The most frequently used tracers are Tc(99m)-tin colloid or Tc(99m)-phytate for scintigraphy and patent blue violet or indigo carmine as a blue dye. Some institutions use indocyanine green, which is fluorescent and can be used to visualize sentinel lymph node(s) (SLNs) under an infrared camera. The recent detection rate of SLNs has increased to more than 95% with the method using blue dye, lymphoscintigraphy, and a handheld gamma probe. In a multicenter study, the rates of metastasis in SLN were as follows: pTis, 0% (0/36); pT1, 10.7% (6/56); pT2, 21.0% (13/63); pT3, 34.0% (35/103); and pT4, 62.4% (63/101). The metastasis rate was also significantly related to ulceration of the primary tumor. Here, we discuss data from Japanese patients and the present status of SLNB in Japan.
File Format	HTM / HTML
ISSN	13419625
Issue Number	6
Volume Number	14
e-ISSN	14377772
Journal	International Journal of Clinical Oncology
Language	English
Publisher	Springer
Publisher Date	2009-12-01
Publisher Place	Japan
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Oncology Melanoma Pathology Sentinel Lymph Node Biopsy Methods Skin Neoplasms Humans Lymph Nodes Surgery Lymphatic Metastasis Diagnosis Neoplasm Staging Radionuclide Imaging Rosaniline Dyes Journal Article Research Support, Non-u.s. Gov't Review
Content Type	Text
Resource Type	Article
Subject	Hematology Surgery Oncology

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