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  • Cílem studie bylo pomocí klinického sledování zhodnotit spolehlivost biopsie sentinelových lymfatických uzlin (SLU) při detekci uzlinových metastáz u pacientů (pac.) s maligním melanomem (MM). Celkem byla SLU biopsie provedena u 170 pac. s MM. 2 pacienti s lokální recidivou MM byli vyloučeni ze studie pro možnost vzniku uzlinové metastázy na základě recidivy. Celkem hodnoceno 168 osob. Lokalizace MM: 91 trup, 67 končetiny, 10 hlava a krk. TNM: 48 pT1, 65 pT2, 32 pT3, 19 pT4, 4 pTiS. Střední doba sledování 2,6 roku (0,5-5,7, medián 2,4 roku). SLU nalezeny u všech pac. ? 100% úspěšnost detekce SLU. Metastázy v SLU detekovány u 25/168 pac. (1/48 pT1, 6/65 pT2, 8/32 pT3, 10/19 pT4). Následné klinické sledování zjistilo lymfatické metastázy u dalších 4 pac.(1 pT2, 1pT3, 2 pT4), z toho ve 3 případech šlo o MM na distálních partiích dolních končetin. Senzitivita SLU biopsie 86 %, negativní prediktivní hodnota 97 %. Při hodnocení bez 6 pacientů s MM na noze: senzitivita 96,1%, NPV 99,3%. U 3 pac. zjištěny vz (cs)
  • Introduction: Sentinellymph node (SLN) biopsy and subsequent clinical assessment show different results in some patients with malignant melanoma (MM). The incidence of a false negative SLN is less than 2% in a case of comparison of SLN status with a histological finding in the remaining lymph nodes in the Iymphatic basin. However, the incidence of lymphatic metastases in the adjacent lymphatic basins varies in patients with negative SLN from4% to 27% duringthe follow-up (Mariani G et a1.JNucl Med 2002; 43: 811-827). The aim of the study was to evaluate this parameter in a large group ofpatients. Methods: 170 consecutive patients with MM underwent SLN biopsy and subsequently were followed at the Dept. of Oncology. 2 patients were excluded from the study due to the local recurrence with secondary lymph node metastasis, therefore a total of 168 patients were studied. Loca1ization of MMs: 91 trunk, 67 extremities, 10 head and neck. TNM classification: 48 pTI, 65 pT2, 32 pT3, 19 pT4, 4 pTiS. T
  • Introduction: Sentinellymph node (SLN) biopsy and subsequent clinical assessment show different results in some patients with malignant melanoma (MM). The incidence of a false negative SLN is less than 2% in a case of comparison of SLN status with a histological finding in the remaining lymph nodes in the Iymphatic basin. However, the incidence of lymphatic metastases in the adjacent lymphatic basins varies in patients with negative SLN from4% to 27% duringthe follow-up (Mariani G et a1.JNucl Med 2002; 43: 811-827). The aim of the study was to evaluate this parameter in a large group ofpatients. Methods: 170 consecutive patients with MM underwent SLN biopsy and subsequently were followed at the Dept. of Oncology. 2 patients were excluded from the study due to the local recurrence with secondary lymph node metastasis, therefore a total of 168 patients were studied. Loca1ization of MMs: 91 trunk, 67 extremities, 10 head and neck. TNM classification: 48 pTI, 65 pT2, 32 pT3, 19 pT4, 4 pTiS. T (en)
Title
  • Efficacy of sentinel lymph node biopsy in patients with malignant melanoma
  • Spolehlivost biopsie sentinelových uzlin u maligního melanomu (cs)
  • Efficacy of sentinel lymph node biopsy in patients with malignant melanoma (en)
skos:prefLabel
  • Efficacy of sentinel lymph node biopsy in patients with malignant melanoma
  • Spolehlivost biopsie sentinelových uzlin u maligního melanomu (cs)
  • Efficacy of sentinel lymph node biopsy in patients with malignant melanoma (en)
skos:notation
  • RIV/61989592:15110/07:00004356!RIV08-MSM-15110___
http://linked.open.../vavai/riv/strany
  • 168
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • S
http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
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http://linked.open...dnocenehoVysledku
  • 419331
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/07:00004356
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • sentinel lymph node biopsy; malignant melanoma (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • DE - Spolková republika Německo
http://linked.open...ontrolniKodProRIV
  • [5252C6C1071B]
http://linked.open...i/riv/nazevZdroje
  • Nuklearmedizin
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
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http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 46
http://linked.open...iv/tvurceVysledku
  • Beneš, Petr
  • Koranda, Pavel
  • Kamínek, Milan
  • Mysliveček, Miroslav
  • Bajgar, Robert
  • Molitor, M.
  • Hirňák, J.
issn
  • 0029-5566
number of pages
http://localhost/t...ganizacniJednotka
  • 15110
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