One-day or two-day procedure for sentinel node biopsy in melanoma?

A H Chakera; J Lock-Andersen; U Hesse; B M Nürnberg; B R Juhl; K H Stokholm; K T Drzewiecki; B Hesse; A H Chakera; J Lock-Andersen; U Hesse; B M Nürnberg; B R Juhl; K H Stokholm; K T Drzewiecki; B Hesse

doi:10.1007/s00259-008-1036-2

One-day or two-day procedure for sentinel node biopsy in melanoma?

A H Chakera, J Lock-Andersen, U Hesse, B M Nürnberg, B R Juhl, K H Stokholm, K T Drzewiecki, B Hesse, A H Chakera, J Lock-Andersen, U Hesse, B M Nürnberg, B R Juhl, K H Stokholm, K T Drzewiecki, B Hesse

16 Citations (Scopus)

Abstract

PURPOSE: We compared the outcome of a 1-day and a 2-day sentinel node (SN) biopsy procedure, evaluated in terms of lymphoscintigraphic, surgical and pathological findings. METHODS: We studied 476 patients with melanoma from two melanoma centres using static scintigraphy and blue dye. A proportional odds model was used for statistical analysis. RESULTS: The number of SNs visualized at scintigraphy increased significantly with time from injection to scintigraphy and activity left in the patient at scintigraphy, and depended on the melanoma location. The number of SNs removed at surgery increased with the number of SNs visualized at scintigraphy and time from injection to surgery. The frequency of nodal metastasis increased with increasing thickness and Clark level of the melanoma, and was highest for two SNs visualized at scintigraphy. CONCLUSION: This study showed that early vs. late imaging and surgery do make a difference on the outcome of the SN procedure and confirmed the importance of the scintigraphic visualization of all true SNs.

Original language	English
Journal	European Journal of Nuclear Medicine and Molecular Imaging
Volume	36
Issue number	6
Pages (from-to)	928-37
Number of pages	10
ISSN	1619-7070
DOIs	https://doi.org/10.1007/s00259-008-1036-2 https://doi.org/10.1007/s00259-008-1036-2
Publication status	Published - 1 Jun 2009

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Chakera, A. H., Lock-Andersen, J., Hesse, U., Nürnberg, B. M., Juhl, B. R., Stokholm, K. H., Drzewiecki, K. T., Hesse, B., Chakera, A. H., Lock-Andersen, J., Hesse, U., Nürnberg, B. M., Juhl, B. R., Stokholm, K. H., Drzewiecki, K. T., & Hesse, B. (2009). One-day or two-day procedure for sentinel node biopsy in melanoma? European Journal of Nuclear Medicine and Molecular Imaging, 36(6), 928-37. https://doi.org/10.1007/s00259-008-1036-2, https://doi.org/10.1007/s00259-008-1036-2

Chakera, AH, Lock-Andersen, J, Hesse, U, Nürnberg, BM, Juhl, BR, Stokholm, KH, Drzewiecki, KT, Hesse, B, Chakera, AH, Lock-Andersen, J, Hesse, U, Nürnberg, BM, Juhl, BR, Stokholm, KH, Drzewiecki, KT & Hesse, B 2009, 'One-day or two-day procedure for sentinel node biopsy in melanoma?', European Journal of Nuclear Medicine and Molecular Imaging, vol. 36, no. 6, pp. 928-37. https://doi.org/10.1007/s00259-008-1036-2, https://doi.org/10.1007/s00259-008-1036-2

@article{651a6160746911df928f000ea68e967b,

title = "One-day or two-day procedure for sentinel node biopsy in melanoma?",

abstract = "PURPOSE: We compared the outcome of a 1-day and a 2-day sentinel node (SN) biopsy procedure, evaluated in terms of lymphoscintigraphic, surgical and pathological findings. METHODS: We studied 476 patients with melanoma from two melanoma centres using static scintigraphy and blue dye. A proportional odds model was used for statistical analysis. RESULTS: The number of SNs visualized at scintigraphy increased significantly with time from injection to scintigraphy and activity left in the patient at scintigraphy, and depended on the melanoma location. The number of SNs removed at surgery increased with the number of SNs visualized at scintigraphy and time from injection to surgery. The frequency of nodal metastasis increased with increasing thickness and Clark level of the melanoma, and was highest for two SNs visualized at scintigraphy. CONCLUSION: This study showed that early vs. late imaging and surgery do make a difference on the outcome of the SN procedure and confirmed the importance of the scintigraphic visualization of all true SNs.",

author = "Chakera, {A H} and J Lock-Andersen and U Hesse and N{\"u}rnberg, {B M} and Juhl, {B R} and Stokholm, {K H} and Drzewiecki, {K T} and B Hesse and Chakera, {A H} and J Lock-Andersen and U Hesse and N{\"u}rnberg, {B M} and Juhl, {B R} and Stokholm, {K H} and Drzewiecki, {K T} and B Hesse",

note = "Keywords: Adolescent; Adult; Aged; Aged, 80 and over; Female; Humans; Male; Melanoma; Middle Aged; Sentinel Lymph Node Biopsy; Time Factors",

year = "2009",

month = jun,

day = "1",

doi = "10.1007/s00259-008-1036-2",

language = "English",

volume = "36",

pages = "928--37",

journal = "European Journal of Nuclear Medicine and Molecular Imaging",

issn = "1619-7070",