Sunday, February 24, 2019

Journals on Cancer medicine



Abstract

Forty percent of #patients with #gastriccancer are node negative, so they have an unnecessarily extended lymph node dissection with a higher rate of morbidity and mortality. Successful sentinel #lymphnode (SLN) mapping may help to reduce the number of extended #lymphadenectomy. Sentinel lymph node biopsy (SNB) is indicated in patients with T1 or T2 tumors; primary lesions < than 4 cm in diameter; and clinical N0 gastric cancer. The injection method and selection of tracers for SLN mapping in gastric cancer remain controversial. However, the use of dual tracer and in cases with non-palpable lesions, the #submucosal marking method is recommended. The identification rate and sensitivity are the highest in time performing SLN biopsy after dye injection ≥15 min, the number of SLNs ≥5 and application of the basin #dissection.

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