Skip to main content
Top
Published in: Nuclear Medicine and Molecular Imaging 4/2015

01-12-2015 | Case Report

The Utility of Intraoperative Handheld Gamma Camera for Detection of Sentinel Lymph Nodes in Melanoma

Authors: Elgin Ozkan, Aydan Eroglu

Published in: Nuclear Medicine and Molecular Imaging | Issue 4/2015

Login to get access

Abstract

Accurate identification of the sentinel lymph node (SLN) is an important prognostic factor for melanoma. In a minority of cases drainage to interval nodal basins, such as the epitrochlear region, are possible. Intraoperative handheld gamma cameras have been used to detect SLNs which are located in different anatomical localizations. In this case we report the utility of an intraoperative handheld gamma camera in the localization of epitrochlear drainage of distal upper extremity melanoma and its impact on surgical procedure.
Literature
1.
go back to reference Sober AJ, Koh HK. Melanoma and other pigmented skin lesions. In: Isselbacher KJ, editor. Harrison’s principles of internal medicine. New York: McGraw-Hill; 1994. p. 1867–71. Sober AJ, Koh HK. Melanoma and other pigmented skin lesions. In: Isselbacher KJ, editor. Harrison’s principles of internal medicine. New York: McGraw-Hill; 1994. p. 1867–71.
2.
go back to reference Thompson JF, Uren RF. Lymphatic mapping in management of patients with primary cutaneous melanoma. Lancet Oncol. 2005;6:877–85.CrossRefPubMed Thompson JF, Uren RF. Lymphatic mapping in management of patients with primary cutaneous melanoma. Lancet Oncol. 2005;6:877–85.CrossRefPubMed
3.
go back to reference Mariani G, Erba P, Manca G, Villa G, Gipponi M, Boni G, et al. Radioguided sentinel lymph node biopsy in patients with malignant cutaneous melanoma: the nuclear medicine contribution. J Surg Oncol. 2004;85:141–51.CrossRefPubMed Mariani G, Erba P, Manca G, Villa G, Gipponi M, Boni G, et al. Radioguided sentinel lymph node biopsy in patients with malignant cutaneous melanoma: the nuclear medicine contribution. J Surg Oncol. 2004;85:141–51.CrossRefPubMed
4.
go back to reference Tanabe KK. Lymphatic mapping and epitrochlear lymph node dissection for melanoma. Surgery. 1997;121:102–4.CrossRefPubMed Tanabe KK. Lymphatic mapping and epitrochlear lymph node dissection for melanoma. Surgery. 1997;121:102–4.CrossRefPubMed
5.
go back to reference Hunt JA, Thompson JF, Uren RF, Howman-Glies R, Harman CR. Epitrochlear lymph nodes as a site of melanoma metastasis. Ann Surg Oncol. 1998;5:248–52.CrossRefPubMed Hunt JA, Thompson JF, Uren RF, Howman-Glies R, Harman CR. Epitrochlear lymph nodes as a site of melanoma metastasis. Ann Surg Oncol. 1998;5:248–52.CrossRefPubMed
6.
go back to reference Moloney DM, Overstall S, Allan R, Powell BW. An aberrant lymph node containing metastatic melanoma detected by sentinel node biopsy. Br J Plast Surg. 2001;54:638–40.CrossRefPubMed Moloney DM, Overstall S, Allan R, Powell BW. An aberrant lymph node containing metastatic melanoma detected by sentinel node biopsy. Br J Plast Surg. 2001;54:638–40.CrossRefPubMed
7.
go back to reference Kidner TB, Yoon JL, Faries MB, Morton DL. Epitrochlear sentinel lymph nodes in melanoma: interval or independent? Am Surg. 2012;78:702–5.PubMedCentralPubMed Kidner TB, Yoon JL, Faries MB, Morton DL. Epitrochlear sentinel lymph nodes in melanoma: interval or independent? Am Surg. 2012;78:702–5.PubMedCentralPubMed
8.
go back to reference Olcott P, Pratx G, Johnson D, Mittra E, Niederkohr R, Levin CS. Clinical evaluation of a novel intraoperative handheld gamma camera for sentinel lymph node biopsy. Phys Med. 2013;30:340–5.CrossRefPubMed Olcott P, Pratx G, Johnson D, Mittra E, Niederkohr R, Levin CS. Clinical evaluation of a novel intraoperative handheld gamma camera for sentinel lymph node biopsy. Phys Med. 2013;30:340–5.CrossRefPubMed
9.
go back to reference Zanzonica P, Heller S. Nuclear probes and intraoperative gamma cameras. Semin Nucl Med. 2011;41:166–81.CrossRef Zanzonica P, Heller S. Nuclear probes and intraoperative gamma cameras. Semin Nucl Med. 2011;41:166–81.CrossRef
10.
go back to reference Tsuchimochi M, Hayama K. Intraoperative gamma cameras for radioguided surgery: technical characteristics, performance parameters, and clinical applications. Phys Med. 2013;29:126–38.CrossRefPubMed Tsuchimochi M, Hayama K. Intraoperative gamma cameras for radioguided surgery: technical characteristics, performance parameters, and clinical applications. Phys Med. 2013;29:126–38.CrossRefPubMed
11.
go back to reference Chondrogiannis S, Ferretti A, Facci E, Marzola MC, Rampin L, Tadayyon S, et al. Intraoperative hand-held imaging γ-camera for sentinel node detection in patients with breast cancer: feasibility evaluation and preliminary experience on 16 patients. Clin Nucl Med. 2013;38:132–6.CrossRef Chondrogiannis S, Ferretti A, Facci E, Marzola MC, Rampin L, Tadayyon S, et al. Intraoperative hand-held imaging γ-camera for sentinel node detection in patients with breast cancer: feasibility evaluation and preliminary experience on 16 patients. Clin Nucl Med. 2013;38:132–6.CrossRef
12.
go back to reference Dengel LT, More MJ, Judy PG, Petroni GR, Smolkin ME, Rehm PK, et al. Intraoperative imaging guidance for sentinel node biopsy in melanoma using a mobile gamma camera. Ann Surg. 2011;253:774–8.CrossRefPubMed Dengel LT, More MJ, Judy PG, Petroni GR, Smolkin ME, Rehm PK, et al. Intraoperative imaging guidance for sentinel node biopsy in melanoma using a mobile gamma camera. Ann Surg. 2011;253:774–8.CrossRefPubMed
13.
go back to reference Vermeeren L, Valdes Olmos RA, Meinhardt W, Bex A, van der Poel HG, Vogel WV, et al. Intraoperative radioguidance with a portable gamma camera: a novel technique for laparoscopic sentinel node localisation in urological malignancies. Eur J Nucl Med Mol Imaging. 2009;36:1029–36.CrossRefPubMed Vermeeren L, Valdes Olmos RA, Meinhardt W, Bex A, van der Poel HG, Vogel WV, et al. Intraoperative radioguidance with a portable gamma camera: a novel technique for laparoscopic sentinel node localisation in urological malignancies. Eur J Nucl Med Mol Imaging. 2009;36:1029–36.CrossRefPubMed
Metadata
Title
The Utility of Intraoperative Handheld Gamma Camera for Detection of Sentinel Lymph Nodes in Melanoma
Authors
Elgin Ozkan
Aydan Eroglu
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
Nuclear Medicine and Molecular Imaging / Issue 4/2015
Print ISSN: 1869-3474
Electronic ISSN: 1869-3482
DOI
https://doi.org/10.1007/s13139-015-0341-5

Other articles of this Issue 4/2015

Nuclear Medicine and Molecular Imaging 4/2015 Go to the issue