5T), Ultrasound-guided cyst aspiration, Stereotactic breast biopsy, Mammography, stereotactic and ultrasound-guided pre-surgical needle localization, Lymphatic mapping with lymphoscintigraphy
Lymph drainage studied by lymphoscintigraphy
in the arms after sentinel node biopsy compared with axillary lymph node dissection following conservative breast cancer surgery.
Morton introduced cutaneous lymphoscintigraphy
to identify, or map, the regional lymphatic basin receiving drainage from a primary cutaneous melanoma.
At centres with the appropriate expertise, dynamic sentinel lymph node biopsy (which involves the injection of technetium-99m around the primary tumour), preoperative lymphoscintigraphy
, and sentinel lymph node (SLN) identification using blue dye and a gamma ray detection probe to achieve physiologic rather than anatomic SLN identification may be considered.
Surgeons from North America, Europe, Asia, and Israel provide 25 chapters that cover etiology and epidemiology, including the role of HIV infections and human papillomavirus in head and neck tumors; biochemoprevention, immunology and immunotherapy, imaging, staging, pathology, radiation therapy, chemotherapy and targeted treatment, photodynamic therapy, evaluation and treatment planning, salvage surgery, lymphoscintigraphy
and sentinel node biopsy, indications and modifications of neck dissection, pain and symptom management, physical and occupational therapy, nutrition support, voice rehabilitation, and quality of life; cutaneous malignancies; and tumors in children.
Lymphangiography (the gold standard exam) or lymphoscintigraphy
can be performed to confirm communication with the thoracic duct.
Extension of the lesion to the lymph nodes has been assessed with various approaches including lymphoscintigraphy
, whole body PET/CT scan, (38) MRI, ultrasonography with FNA biopsy of suspicious lymph nodes, (39) or sentinel node biopsy.
For patients with disease that is apparently clinically localized to the primary tumor site, identifying the sentinel lymph nodes by lymphoscintigraphy
for subsequent close monitoring by clinical examination and ultrasonography appears to offer an alternative, noninvasive strategy to sentinel lymph node biopsy that may allow early detection of growing metastases.
Bilateral upper limb baseline lymphoscintigraphy
was performed on each volunteer.
Incidence of nonlocalization of sentinel lymph nodes using preoperative lymphoscintigraphy
in 74 consecutive head and neck melanoma and Merkel cell carcinoma patients.
During surgery, the sentinel lymph node is identified with radiolabeled lymphoscintigraphy
with or without isosulfan blue dye.
Diagnostic SPECT-CT using Siemens Symbia TruePoint(TM) SPECT-CT imaging systems combines anatomical clarity obtained from CT with functional imaging using SPECT lymphoscintigraphy
for accurate localization of sentinel nodes.