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Currently, axillary lymph node dissection is increasingly being replaced by the sentinel node procedure.
A technique which was supposed to increase the accuracy of US-guided aspiration is better selection of the node to aspirate by the sentinel node procedure.
Sir, We read with great interest the article published by Chéreau et al (2012) demonstrating the interest of the detection of micrometastases in the locally advanced cervical cancers (LACC) by the sentinel node (SN) procedure.
Spread to the inguinal lymph nodes is evaluated either by the sentinel node procedure (vulvar tumor ≤4 cm and no clinical signs of tumor spread to inguinal nodes) or lymphadenectomy of the regional lymph nodes.
Importantly, any method of reporting on the likelihood that a truly positive lymph node will be missed by the sentinel node procedure depends on the a priori likelihood that any lymph nodes are actually involved by melanoma.
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Perhaps the sensitivity of US-guided biopsy could be improved by increasing the number of passes and samples obtained from the visualised abnormal nodes, and by preferentially imaging the sentinel node by dual scanning with a gamma probe and high-frequency US.
Sentinel node biopsy aims to predict the status of the regional lymph node basin draining a carcinoma by analysis of the sentinel node(s) only.
Additionally, defining the sentinel node by the "10%% rule" did not alter the pathology status on a per-patient basis.
The following day the surgeon identified the sentinel node by gamma probe and marked it on the skin.
Although a small group, there were no technical problems in finding the sentinel node by the use of contrast agent and radio-isotope-guided surgery.
Viviana Galimberti (European institute of Oncology, Milano, Italy) reported that micrometastases (<2 mm) are found more frequently by extensive pathological examination of the sentinel node.
More suggestions(17)
by the sentinel lymph-node
by the sentinel laboratory
by the sentinel state
by the master node
by the parent node
by the leader node
by the receiver node
by the fact node
by the sentinel system
by the destination node
by the source node
by the sensor node
by the sentinel surveillance
by the target node
by the relay node
by the sender node
by the lymph node
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CEO of Professional Science Editing for Scientists @ prosciediting.com