Meme Kanserinde İntraoperatif Gama Prob ile Sentinel Lenf Nodu Örneklemesi: KEAH Deneyimimiz

Abstract

Amaç: Bu çalışmada, klinik olarak aksilla negatif meme kanseri için intraoperatif gama prob uygulaması ile SLNB  yapılan hastaların sonuçlarının literatür eşliğinde değerlendirilmesi amaçlanmıştır.

Metod: Kayseri Eğitim Araştırma Hastanesinde, Aralık 2016 – Ağustos 2017 tarihleri arasında meme kanseri nedeniyle cerrahi tedavi uygulanan, klinik olarak aksillası negatif olan, intraoperatif gama prob yöntemi ile sentinel lenf nodu örneklemesi yapılan 17 olgu çalışmaya dahil edildi. Tüm hastalara Tc-99m nanocolloid kullanılarak gama prob ile sentinel lenf nodu (SLN) biyopsisi yapıldı.

Bulgular: Tüm hasta serisinde ortalama 2 (1-4) SLN bulundu. toplam dokuz hastaya ALND yapıldı. Ortalama çıkarılan ALN sayısı 12 (5-20) idi. ALND yapılan iki hastada yalnızca SLN’lerde metastaz saptandı. SLN saptanma oranı % 100, tanısal doğruluk oranı % 94 olarak belirlendi.

Sonuç: Aksiller diseksiyon kararı vermede gama prob ile SLN örneklemesi, lenf nodlarının lokalizasyonlarını ve insizyon yerini saptamada ve metastatik durumlarını belirlemede güvenilir, etkili bir yöntemdir.

Keywords

• Sentinel lenf nodu,gama prob,meme kanseri

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