%0 Journal Article
%T The study of validation of sentinel lymph node biopsy with radio nuclide scans in stomach cancer surgery
%A Fereshte Kamani
%A Shapoor Azizi
%A Elena Saremi
%J Iranian Journal of Nuclear Medicine
%D 2010
%I 
%X Introduction: Goal: The study of using the sentinel lymph node biopsy with radio nucleoid scan and concordance of the pathological evidences of the sentinel lymph node and other lymph nodes in stomach cancer surgery. Methods: There are 10 patients, which they had stomach cancer involved in the study. As a result of this study before and during the cancer surgery, they had resectable cancer and they did not involve any lymph node clinically. In all patients the sentinel lymph node or lymph nodes marked with radio nucleoid scan and the biopsy of the sentinel lymph nodeand lymphatic dissection done in standard way, then the patient put under the gastrectomy. At last, the pathology result of the sentinel lymph node and other lymph nodes have been compared and the concordance of them have been analysed. Results: Tumor location in 7 cases was in lesser curvature, one in greater curvature, one in antrum and one in EG junction. In 9 cases the sentinel lymph node was against to the tumor in pregastric area, in one case of GE junction tumor, the sentinel lymph node was in the hilum of spleen, and only in one case there was skip metastasis. As a result of pathology report, in 8 cases the sentinel lymph node was involved with cancer which in final pathologic report there was involvement of the lymph node. In other 2 cases the sentinel lymph nodes was clean which in final pathology report there was no involvement in lymph nodes. Conclusion: In this study there was a concordance between the pathology report of sentinel lymph node and lymph node involvement. According to this study we can find out that when the sentinel lymph node is not involved with the cancer we can refuse from wide lymph node dissection.
%K Sentinel lymph node biopsy
%K stomach cancer
%K Radiopharmaceutical
%U http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16857.pdf&manuscript_id=16857