Török L, Károlyi Z, Mari B, Kádár L, Németh P
Dermatologische Abteilung, Komitätskrankenhauses Kecskemét/Ungarn.
Z Hautkr. 1988 Oct 15;63(10):822-7.
We report on 20 patients suffering from malignant melanoma, who had undergone regional lymph node dissection. In order to make certain that all the lymph nodes had been completely removed, we performed lymphoscintigraphy 3 to 6 weeks after block dissection with the help of a radiopharmacon intercostally or interdigitally applied. We judged the removal to be complete, if neither intercostal nor interdigital application led to any evidence of regional lymph nodes. On the basis of our experiences so far, we consider postoperative lymphoscintigraphy a suitable non-invasive method to check the completeness of block dissection.
我们报告了20例接受区域淋巴结清扫术的恶性黑色素瘤患者。为确保所有淋巴结均被完全切除,我们在根治性清扫术后3至6周,借助经肋间或指间注射放射性药物进行淋巴闪烁显像。如果肋间或指间注射均未显示区域淋巴结存在,则判定切除完全。基于目前的经验,我们认为术后淋巴闪烁显像是检查根治性清扫术是否彻底的一种合适的非侵入性方法。