Salguero-Fernández I, Rios-Buceta L, Jaén-Olasolo P
Servicio de Dermatología, Hospital Ramón y Cajal, Madrid, España.
Actas Dermosifiliogr. 2011 Oct;102(8):589-98. doi: 10.1016/j.ad.2011.05.010. Epub 2011 Sep 9.
Sentinel lymph node biopsy is performed routinely in melanoma because lymph node progression has been shown to be the strongest predictor of survival. Given the proven relevance of biopsy findings in this type of skin cancer, the procedure has been extended to other skin tumors. Experience in nonmelanoma cancer is much more limited and the prognostic usefulness of biopsy results remains to be shown. This critical review of the literature on the various skin tumors in which sentinal node biopsy has been practiced discusses the usefulness of this procedure.
前哨淋巴结活检在黑色素瘤中常规进行,因为淋巴结转移已被证明是生存的最强预测指标。鉴于活检结果在这类皮肤癌中的相关性已得到证实,该方法已扩展到其他皮肤肿瘤。在非黑色素瘤癌症方面的经验要有限得多,活检结果的预后价值仍有待证明。这篇对已开展前哨淋巴结活检的各种皮肤肿瘤相关文献的批判性综述讨论了该方法的实用性。