دورية أكاديمية

Sentinel Lymph Nodes in Cutaneous Melanoma: Handling, Examination, and Clinical Repercussion.

التفاصيل البيبلوغرافية
العنوان: Sentinel Lymph Nodes in Cutaneous Melanoma: Handling, Examination, and Clinical Repercussion.
المؤلفون: Prieto, Victor G.1 vprieto@mdanderson.org
المصدر: Archives of Pathology & Laboratory Medicine. Dec2010, Vol. 134 Issue 12, p1764-1769. 6p. 6 Color Photographs, 1 Black and White Photograph, 2 Diagrams.
مصطلحات موضوعية: *MELANOMA diagnosis, *COLLECTION & preservation of biological specimens, *BIOPSY, *CYTOLOGICAL techniques, *DIFFERENTIAL diagnosis, *HISTOLOGICAL techniques, *LYMPH nodes, *MELANOMA, *METASTASIS, *PROGNOSIS, *TUMOR classification, *SENTINEL lymph nodes
مستخلص: Context.--Within the last 15 years, evaluation of sentinel lymph nodes (SLNs) has become the most popular method of early staging of several malignancies, including melanoma. Sentinel lymph nodes are usually examined on formalin-fixed, paraffin-embedded sections and by routine histology/immunohistochemistry (research protocols have used other techniques such as polymerase chain reaction). Approximately 20% of patients with cutaneous melanoma have metastasis in the SLN. In most studies, detection of positive SLN conveys a poorer prognosis for patients with cutaneous melanoma. Objective.--To review the morphologic patterns of melanoma metastasis in the SLN, the differential diagnosis, and the quantification of tumor burden as a prognostic factor. Data Sources.--Personal observations and review of the pertinent literature. Conclusions.--Evaluation of sentinel lymph nodes is certainly becoming a widespread technique and most authors agree on its prognostic power for staging patients with cutaneous melanoma. Current studies are evaluating the possible therapeutic value of removal of positive SLNs. [ABSTRACT FROM AUTHOR]
قاعدة البيانات: Academic Search Index
الوصف
تدمد:00039985
DOI:10.5858/2009-0502-rar.1