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Intraoperative Fluorescence Imaging for Sentinel Lymph Node Detection
Author(s) -
Ingo Stoffels,
Joachim Dissemond,
Thorsten Pöppel,
Dirk Schadendorf,
Joachim Klode
Publication year - 2015
Publication title -
jama surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.757
H-Index - 176
eISSN - 2168-6262
pISSN - 2168-6254
DOI - 10.1001/jamasurg.2014.3502
Subject(s) - medicine , indocyanine green , sentinel lymph node , lymph , melanoma , gamma probe , lymph node , sentinel node , radiology , surgery , breast cancer , lymphatic system , technetium , nuclear medicine , cancer , pathology , cancer research
The metastatic status of regional lymph nodes is the most relevant prognostic factor in breast cancer, melanoma, and other solid organ tumors with a lymphatic spread. The current gold standard for detection and targeted excision of the sentinel lymph node is preoperative lymphoscintigraphy with technetium Tc 99m. Because of the worldwide shortage of technetium Tc 99m, physicians are looking for nonradioactive dyes for sentinel lymph node labeling. Based on several retrospective studies, the fluorescent dye indocyanine green is considered a possible alternative to technetium Tc 99m.

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