Sentinel Lymph Node Biopsy by Lymphatic Flare Technique: a Feasibility Study-"The FLAIR Is in the FLARE".

Autor: Shamsudeen S; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., Vikram S; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., Damodaran D; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., Rahman F; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., Alapatt JJ; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., R D; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., Krishnan GR; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India., Damodaran D; Department of Surgical Oncology, MVR Cancer Centre & Research Institute, CP 13/516 B, C, Vellalasseri NIT (Via), Poolacode, Kozhikode, Kerala 673601 India.
Jazyk: angličtina
Zdroj: Indian journal of surgical oncology [Indian J Surg Oncol] 2022 Dec; Vol. 13 (4), pp. 890-895. Date of Electronic Publication: 2022 Jul 16.
DOI: 10.1007/s13193-022-01574-y
Abstrakt: Background: Sentinel lymph node (SLN) biopsy is a standard procedure in evaluating the status of node negative axilla. Numerous techniques have been described in literature. We hereby describe a new technique of intradermal injection of blue dye called the lymphatic flare technique.
Methods: The study was conducted in two phases over a year from August 2020 to May 2021with an internal audit to validate and standardize the technique in January 2021.
Results: Between August 2020 and December 2020, 32 patients were evaluated for validation of this technique by two senior surgeons, which yielded a SLN identification rate of 93.75% (30 out of 32). After validating, standardizing, and educating the entire surgical team of the technique, another consecutive 27 patients were evaluated. The SLN identification rate increased to 100% (27 out of 27). Overall, SLN positivity for cancer was 16.6% (10 out of 60).
Conclusion: SLN identification by the lymphatic flare technique is feasible, accurate, and reproducible.
Competing Interests: Conflict of InterestThe authors declare no competing interests.
(© The Author(s), under exclusive licence to Indian Association of Surgical Oncology 2022.)
Databáze: MEDLINE
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