By Jan H. Wong MD (auth.), Stanley P. L. Leong (eds.)
Atlas of Selective Lymphadenectomy for cancer, Breast melanoma and Colon Cancer emphasizes a multidisciplinary method combining the reviews of a nuclear medication doctor, healthcare professional, and pathologist. this can be a massive reference additionally for researchers and clinicians who are looking to familiarize yourself with sentinel lymph node mapping. The underlying thesis in strong tumor biology is that metastasis ordinarily starts off in an orderly development with lymphatic unfold first to the sentinel lymph node (SLN) within the nearest lymph node basin. hence, the logical technique is to reap that express SLN for thorough analysis.
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Extra resources for Atlas of Selective Sentinel Lymphadenectomy for Melanoma, Breast Cancer and Colon Cancer
Journal of Surgical Oncology 1997b;66(4):267-9 Morton DL, Wen DR, Cochran AJ. Management of early stage melanoma by intraoperative lymphatic mapping and selective lymphadenectomy. In: Coit DG, editor. Surgical Oncology Clinics of North America: Lymph Nodes Dissection in Malignant Melanoma. Philadelphia: WB Saunders, 1992a;l(2):247-59 Morton DL, Wen DR, Wong JH, et al. Technical details of intraoperative lymphatic mapping for early stage melanoma. Archives of Surgery 1992b;127(4):392-9 Porter GA, Ross MI, Berman RS, et al.
Since the injection is similar to those of a melanoma study, channels are consistently seen (Figure 16a and Figure 16b). Lymphoscintigraphy in the Detection of Sentinel Lymph Nodes 31 COMPUTER PROCESSING Dynamic set The dynamic collection can be summed as a single image to provide more detail of the channels. Review the set for motion artifacts since adding images that are not in the same position on the screen will result in degraded images. Add only those in which motion is not seen. A higher level of confidence can be attained for the channels in relationships to the nodes.
In most of the cases the lymphatic channels are Selective Sentinel Lymph Node Mapping and Dissection for Malignant Melanoma 43 visualized leading to the SLN. We have learned that it may be necessary to cover the injection site with lead to visualize the lymphatic channels, especially if the injection site is in the field of view with the SLN such as in head and neck sites. Figure 1 (pg. 47) shows the different possible patterns of channels leading to the SLNs. For more detailed information, see Chapter 2.
Atlas of Selective Sentinel Lymphadenectomy for Melanoma, Breast Cancer and Colon Cancer by Jan H. Wong MD (auth.), Stanley P. L. Leong (eds.)