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

Yıl 2017, Cilt: 2 Sayı: 2, 25 - 35, 23.08.2017

Saliha Karagöz Eren Hümeyra Gençer Güler Silov Yılmaz Seyhan Karaçavuş Ayşe Esra Arslan Tamer Ertan Ömer Topuz

Öz

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.

Anahtar Kelimeler

Sentinel lenf nodu, gama prob, meme kanseri

Kaynakça

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