SPECT/CT FOR SENTINEL LYMPH NODE MAPPING IN HEAD AND NECK MELANOMA

被引：60
|
作者：
Vermeeren, Lenka [1 ]
Olmos, Renato A. Valdes [1 ]
Klop, W. Martin C. [2 ]
van der Ploeg, Iris M. C. [3 ]
Nieweg, Omgo E. [3 ]
Balm, Alfons J. M. [2 ]
van den Brekel, Michiel W. M. [2 ]
机构：
[1] Antoni van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Nucl Med, Amsterdam, Netherlands
[2] Antoni van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Head & Neck Oncol & Surg, Amsterdam, Netherlands
[3] Antoni van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Surg, Amsterdam, Netherlands
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2011年 / 33卷 / 01期
关键词：
sentinel lymph node biopsy; tomography; emission-computed; single-photon; head and neck neoplasms; melanoma; radionuclide imaging; BIOPSY; LYMPHOSCINTIGRAPHY; CT; IDENTIFICATION; CANCER;
D O I：
10.1002/hed.21392
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background. The additional value of single photon emission computed tomography with CT (SPECT/CT) for detection and localization of sentinel nodes in patients with a melanoma of the head and neck was determined, Methods. Thirty-eight patients received conventional lymphoscintigraphy followed by hybrid SPECT/CT. The number of sentinel nodes visualized and anatomic information provided were analyzed. Changes in surgical approach due to additional information from the SPECT/CT were evaluated in 20 patients. Results. SPECT/CT visualized a mean of 2.6 sentinel nodes per patient (range, 1-6). SPECT/CT depicted an additional sentinel node in 16% of the patients and clearly showed the anatomic location of the hot nodes in all patients. The surgical approach was adjusted on the basis of SPECT/CT images in 11 patients (55%). Conclusion. SPECT/CT visualizes more sentinel nodes than conventional images and shows their anatomic location. SPECT/CT is recommended in patients with a melanoma in the head or neck. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 1-6, 2011
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页码：1 / 6
页数：6
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