Malign Melanomda Sentinel Lenf Nodu Biyopsisi: Güncel Yaklaşımlar

Sentinel lenf nodu biyopsisi (SLNB), malign melanomalı hastaların lenf nodlarının durumunu belirlemek için kullanılan bir evreleme prosedürüdür. Elektif lenf nodu diseksiyonuna göre çok daha az komplikasyon riski bulunmaktadır. SLNB, Breslow kalınlığı

Anahtar Kelimeler:

malign melanoma, sentinel lenf nodu, lenfosintigrafi.

Sentinel Lymph Node Biopsy in Malignant Melanoma: Current Approaches

Sentinel lymph node biopsy (SLNB) is a staging procedure used to determine the nodal status of patients with melanoma. It has a significantly lower complication rate compared with elective lymph node dissection. SLNB is not recommended for very thin lesions (Breslow thickness ≤ 0.75 mm). The combined lymphatic mapping technique of technetium sulfur colloid with vital blue dye would result in identification of the sentinel node in 99% of patients when performed correctly. SLNB is the single most important prognostic factor in melanoma patients without clinical evidence of nodal metastasis Currently, micrometastatic disease found on SLNB is an indication for completion lymph node dissection. In this review, both current literature and ongoing debates considering SLNB are discussed.

Keywords:

malignant melanoma, sentinel lymph node, lymphoscintigraphy.,

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