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Med Bull Sisli Etfal Hosp. 2004; 38(1): 28-33 | |||
Malign melanom olgularında sentinel lenfadenektomi çalışmasıSoner Tatlıdede1, Semra Karşıdağ1, Derya Özçelik2, Murat Atay3, Ismail Kuran1, Lütfü Baş11Şişli Etfal Eğitim ve Araştırma Hastanesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Kliniği, Istanbul2İzzet Baysal Üniversitesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Kliniği, Düzce 3Metropolitan Hastanesi, İstanbul Amaç: Lenfatik haritalama, tümörün drene olduğu efferent lenfatik kanalın açıklığı ilk lenf nodunun (sentinel lenf nodu “SLN" ) tayin edilmesidir ve metastatik hastaların mevcudiyetini araştırmada kullanılan ve halen üzerinde çalışılan bir yöntemdir. Bu çalışma, lenfatik haritalama yönteminin evreleme ve tedaviyi yönlendirmedeki rolünii araştırmak amacı ile planlandı. A study of sentinel lymphadenectomy in malign melanoma casesSoner Tatlıdede1, Semra Karşıdağ1, Derya Özçelik2, Murat Atay3, Ismail Kuran1, Lütfü Baş11Department of Plastic and Reconstructive Surgery, Şisli Etfal Training and Research Hospital, Istanbul, Turkey2Department of Plastic and Reconstructive Surgery, İzzet Baysal University, Düzce, Turkey 3Metropolitan Hospital, Istanbul, Turkey Lymphatic mapping is a method used for determining sentinel lymph node “SLN” which is the first lymph node that efferent lymph canal drained and for searching existence of metasta¬tic disorder, and is still being studied. We used the method of lymphatic mapping on five patients with malignant melanoma for staging and direction the treatment in last 1,5 years, in our clinics. The lymphositography was taken, after perilesioner and intradermal injection of albumin colloid marked with Tc 99m. During the operation, it was decided to excision of SLN which were fixed with Neoprene 1500 and whether to proceed the regional lymph node dissection after pathological study. In our cases, the localization of melanomas were at occipital area, right cruris, epigastric area, left supraclavicular and right lateral plantar area. In the first case, clinical lymphadenopathy could be detected. Regional lymph node dissection were performed first three patients after pathological study. Except the first case which had clinical lymphadenopathy and developed metastases, none of the patients had recurrent disease in 1,5 year follow up period. Lymphatic mapping-sentinel lymphadenectomy study helps decide for proper patient "ion to proceed for regional lymph dissection. Furthermore, it prevent unnecessary operations and reduce morbidity, complication risks and costs. This tecnique which need special equipment and experience has been in use in our clinic in management of melanoma patients. Keywords: Sentinel lymph node, lymphatic mapping, malignant melanoma.Soner Tatlıdede, Semra Karşıdağ, Derya Özçelik, Murat Atay, Ismail Kuran, Lütfü Baş. A study of sentinel lymphadenectomy in malign melanoma cases. Med Bull Sisli Etfal Hosp. 2004; 38(1): 28-33 Sorumlu Yazar: Semra Karşıdağ, Türkiye |
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