Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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SENTINEL NODE BIOPSY IN THE TREATMENT OF DIFFERENTIATED THYROID CANCER – A LOST CAUSE?
Ramona Popovici, Lidia Ionescu, L. Lefter, D. Timofte, C. Rădulescu, R. Dănilă
Third Surgical Unit, „St. Spiridon” Hospital Iaşi
University of Medicine and Pharmacy „Gr.T. Popa”, Iaşi
Jurnalul de chirurgie 2008; 4 (1):9-15
Full text: PDF Format (Engleză/English)

Abstract:

The biological significance of microscopic cervical lymphnode involvement in differentiated thyroid cancer (DTC) and the value of routine lymphadenectomy of the central compartment are still a matter of debate. A review of the literature regarding the use of intraoperative lymphatic mapping and sentinel node biopsy (SNB) is performed. The technique of SNB consists of injection of a vital dye, radiotracer, or a combination of these. The identification rate of sentinel node by the dye technique ranges between 76-100 % while the accuracy of predicting the cervical nodal status varies between 80–100%. The limitations of the technique consist of staining of the parathyroid glands, the ‘shine through’ effect and the possibility of „skip” metastases. Although technically feasible, SNB has not become a standard in the treatment of DTC and its value needs further evaluation.

KEY WORDS: SENTINEL NODE BIOPSY, LYMPHADENECTOMY, DIFFERENTIATED THYROID CANCER

Correspondence to: Radu Dănilă, MD, Third Surgical Unit, „St. Spiridon” Hospital Iaşi; 700111, Bd. Independenţei , No. 1, Iaşi, Romania; e-mail:  



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.