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The sentinel node detection in the lung cancer surgery: initial results of a clinical study

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JEDLIČKA Václav ČAPOV Ivan PEŠTÁL Adam

Rok publikování 2002
Druh Článek ve sborníku
Konference European Society of Thoracic Surgeons, 10th Annual meeting, Abstracts book
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Obor Chirurgie včetně transplantologie
Klíčová slova sentinel node; blue dye staining; lung cancer; mediastinal lymphadenectomy
Popis The aim of the study was to find optimal indication for sentinel node detection in lung cancer surgery and to verify the results of previous studies. We have used the method with the blue dye staining (5 ml Sulphanum cerulaeum into peritumoral tissues). The early staining node or group of lymph nodes have been referred as the sentinel node. After the lung resection the systematical mediastinal lymphadenectomy was performed. The group of 31 patients with NSCLC consisted of 25 men and 6 women with a mean age 71,8 years. There were 7 true positive sentinel nodes containing metastases but also 5 false negative sentinel nodes. In these preliminary results we did not confirm the high sensitivity of the sentinel node in the detection of tumor containing lymph nodes. Mediastinal lymphadenectomy remains the gold standard in lung cancer surgery including early stage NSCLC.
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