[The role of intraoperative gamma-probe-guided sentinel lymph node biopsy in the treatment of malignant melanoma and breast cancer].

Abstract:

:In the treatment of malignant tumors regional lymphadenectomy is used for two purposes. It is used partly for staging the regional lymph nodes which is a significant and independent prognostic factor and determines the need for adjuvant oncologic treatment and partly for achieving locoregional disease control. Removal of tumor-free lymph nodes by regional lymph node clearance is unnecessary according to our current knowledge. Since the sensitivity and specificity of non-invasive clinical examinations are insufficient in predicting the nodal status the histological study of the regional lymph nodes cannot be abandoned. A new and minimally invasive surgical procedure, the mapping and removal of the first tumor draining lymph node, the sentinel node provides the possibility of pathological nodal staging without performing formal lymphadenectomy. Mapping of the sentinel node can be performed by the use of a radioisotope and intraoperative hand-held gamma-probe or a vital blue dye or a combination of these two. This latter method was used by the authors in 73 patients (25 with malignant melanoma and 48 with breast cancer). Sentinel lymph node biopsy was performed successfully in 92% of patients with melanoma and 90% of patients with breast cancer. In three breast cancer patients the sentinel node inaccurately predicted the axillary status as negative, but is was in 93% accurate in predicting the histologic nodal state. According to our preliminary experiences intraoperative gamma-probe guided sentinel lymph node biopsy is considered a feasible procedure in both malignant melanoma and breast cancer. More experiences are needed before introducing this method in the routine clinical practice.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Péley G,Sinkovics I,Liszkay G,Tóth J,Péter I,Farkas E,Téglás M,Hrívó A,Füzy M,Gilde K,Köves I

subject

Has Abstract

pub_date

1999-10-17 00:00:00

pages

2331-8

issue

42

eissn

0030-6002

issn

1788-6120

journal_volume

140

pub_type

杂志文章,评审
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  • [Arrhythmogenic right ventricular dysplasia. Case report and review of the literature].

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  • [High lactose content of the Lundh test meal adversely affects the reliability of the ALTAB test].

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    authors: Mikó P,Schreiner M,Fehér J

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  • [Percutaneous left atrial appendage closure after resolution of left atrial appendage thrombi with dabigatran].

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  • [Effect of cilazapril in patients with essential hypertension: effect on cardiac hypertrophy].

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    doi:

    authors: Abrahám G,Pogátsa-Murray G,Forster T,Csanády M,Sonkodi S

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  • [Clinico-pathological and orthopedic-surgical aspects of essential osteolysis (Gorham disease)].

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    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Riskó T,Bély M,Lakatos J

    更新日期:1993-04-04 00:00:00

  • [Mechanical circulatory support saves lives -- three years' experience of the newly established assist device program at Semmelweis University, Budapest, Hungary].

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  • [T-wave alternans and Torsade de Pointes ventricular tachycardia in a patient with intracerebral hemorrhage].

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    doi:

    authors: Tomcsányi J,Somlói M,Frész T,Beck K

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  • [Interobserver reproducibility of Gleason grading in prostate biopsy samples].

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    journal_title:Orvosi hetilap

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    doi:10.1556/OH.2013.29659

    authors: Bori R,Salamon F,Móczár C,Cserni G

    更新日期:2013-08-04 00:00:00

  • [How do Hungarian family physicians think about Helicobacter pylori? Results of national survey].

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    pub_type: 杂志文章

    doi:

    authors: Magyar A,Papp J

    更新日期:2002-06-30 00:00:00

  • [Selection of statin considering the HDL cholesterol level].

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    pub_type: 杂志文章,评审

    doi:

    authors: Kalina A

    更新日期:2006-11-26 00:00:00

  • [Onset of Philadelphia chromosome negative chronic myeloid leukemia with symptoms of intrahepatic cholestasis].

    abstract::The case of a chronic myelogenous leukemia (CML) starting in an unusual form in a young woman is reported. Rapidly progressing icterus was the first and leading symptom of the disease. Simultaneously with the exclusion of the possibility of hepatitis and extrahepatic obstruction of the bile duct the qualitative blood ...

    journal_title:Orvosi hetilap

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    doi:

    authors: Döbrönte Z,Bodnár M,Löcsei Z,Brittig F,Varga L,István L

    更新日期:1989-10-22 00:00:00

  • [Hemoglobin variability in chronic renal failure patients].

    abstract::In recent years, the question of hemoglobin (Hb) stability in patients with chronic renal failure has attracted the interest of medical experts. One of the most important reasons behind this interest is that maintaining the hemoglobin level within the new narrower target range is highly challenging in clinical practic...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

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    authors: Kiss Z,Kulcsár I,Kiss I

    更新日期:2008-10-12 00:00:00

  • [Traveler's disease].

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    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Ferencz A

    更新日期:1998-07-12 00:00:00

  • [Chronic obstructive pulmonary disease: a cardiologist's point of view].

    abstract::Chronic obstructive pulmonary disease is often associated with cardiovascular diseases, such as pulmonary hypertension, ischemic heart disease, arrhythmias or heart failure. These co-morbidities may cause diagnostic or therapeutic difficulties and significantly worsen the morbidity and mortality of patients with chron...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2014.29989

    authors: Faludi R

    更新日期:2014-09-14 00:00:00

  • [Comparison of progression-free and overall survival between endometrial cancer patients treated with laparoscopic and open surgical techniques].

    abstract::Introduction: Recently published unfavourable results of endoscopic radical surgery for early-stage cervical cancer compared to open surgery raises the need for auditing treatment results of endoscopic staging surgery for endometrial cancer. Aim: Comparison of progression-free and overall survival (PFS and OS) between...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2020.31675

    authors: Póka R,Baradács I

    更新日期:2020-03-01 00:00:00

  • [Endothelial dysfunction].

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    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Nagy J,Csiky B,Kovács T,Wittmann I

    更新日期:2001-08-05 00:00:00

  • [Management of the common European viper's bite--a case report].

    abstract::The common European viper is widespread throughout Europe. In Hungary it can be found mainly in the Zemplén Mountains, on the upper course of the Tisza River, and Zala and Somogy counties. Viper's bite is one of the rarest injuries that requires emergency medical care. The venom contains polypeptides and hydrolytic en...

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    pub_type: 杂志文章

    doi:10.1556/OH.2011.29213

    authors: Sziray A,Károlyi Z

    更新日期:2011-10-09 00:00:00

  • [Perspectives in the management of congenital heart defects in adult patients].

    abstract::Due to improving results in congenital heart surgery, the number of adult patients with congenital heart defect is increasing. The question is: what kind of problems can be managed in this patient-group? The authors review the different problems of management of congenital heart defects in adults based on national and...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2015.30072

    authors: Hartyánszky I,Varga S,Havasi K,Babik B,Katona M,Bogáts G

    更新日期:2015-01-18 00:00:00

  • [Evaluation of captopril-enalapril replacement therapy in hypertensive patients under ambulatory blood pressure monitoring].

    abstract::Authors performed a comparative study of replacement of captopril (2-3x daily) therapy with once daily enalapril. Blood pressure was measured by 24-hour ambulatory monitoring. The study enrolled 62 patients with mild to moderate hypertension. Captopril was previously administered 2-4 times per day, in mean dose of 74....

    journal_title:Orvosi hetilap

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ruszty L,Hidas I,Iványi J,Dudás M,Molnár S

    更新日期:1996-12-22 00:00:00

  • [Insulin-like growth factor receptor, hepatocyte-derived growth factor receptor and telomerase expression in ulcerative colitis].

    abstract:BACKGROUND:The risk of colorectal carcinoma development is elevated in chronic, longstanding ulcerative colitis. The changes of such regenerative and immortalizing pathways caused by the inflammatory process that are proved to be carcinogenic in other human tissues have not been fully and uniformly described. Aim of th...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Sipos F,Molnár B,Zágoni T,Miheller P,Tulassay Z

    更新日期:2006-09-24 00:00:00

  • [Follicular lymphoma].

    abstract::Follicular lymphoma is one of the most common indolent nodal non-Hodgkin's lymphomas. The follicular lymphoma should be differentiated from other nodal non-germinal centre derived lymphomas. Since bcl-2 gene translocation can be detected in 80-90% of the cases, it could be used for the confirmation of the diagnosis, m...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Illés A,Krenács L,Borbényi Z

    更新日期:2003-11-16 00:00:00

  • [Cilazapril replacing captopril in the therapy of medium-severe essential hypertension].

    abstract::Authors performed an open, crossover, multicenter study of oral cilazapril versus previous captopril treatment in mild to moderate hypertension. The treatment of the 100 outpatients on daily three or four times captopril was found ineffective, or in some cases side effects or non compliance necessitated a switch to a ...

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    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Kovács P,Juhász A,Gábeli T,Karányi Z,Polgár P,Paragh G,Lörincz I,Arnold C

    更新日期:1995-10-15 00:00:00

  • [Bilateral neonatal adrenal hemorrhage associated with hypoadrenalism].

    abstract::A newborn is described, who was born in term with 3250 g weight, after intrauterine hypoxia. She was born with vacuum extraction, and suffered from birth trauma and intrauterine infection. At age of one day manifested an eclampsia, which was hardly diminishable. The serum Na level was 118 mmol/l. Bilateral adrenal apo...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Jójárt G,Nagy G,Pásztor J,Kovács Z

    更新日期:1992-05-10 00:00:00

  • [Analysis of the data from the Szabolcs-Szatmár County 1983-1987 leukemia/lymphoma registry].

    abstract::In Szabolcs-Szatmár county between January 1 1983 and December 31, 1987, 465 new cases of adult malignant haematologic diseases were registered by authors. The authors present the yearly distribution of cases, and analyse the main types and characteristics of the disease entity. According to their data the epidemiolog...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Jakó J,Nagy P

    更新日期:1990-02-25 00:00:00

  • [Results of stroke care in Hungary in the frame of international comparison].

    abstract:INTRODUCTION:The EuroHOPE FP7 project analysed the effectiveness and efficiency of stroke care between 2010 and 2014. AIM:The study introduces Hungarian data in comparison with international results and explores the causes of differences. METHOD:The analysis was performed on data available from regular data collectio...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2016.30558

    authors: Szőcs I,Bereczki D,Belicza É

    更新日期:2016-10-01 00:00:00

  • [Fungal esophagitis].

    abstract::The gastrointestinal mucosa is one of the principal portal of entry in systemic fungal infections. Esophagitis is the most frequent among the fungal infections of the gastrointestinal tract. The etiologic factors of fungal infections are various Candida species, most frequently Candida albicans. Due to the large numbe...

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    pub_type: 杂志文章,评审

    doi:

    authors: Péter Z,Telegdy L

    更新日期:2002-07-21 00:00:00

  • [Is diabetes mellitus, diagnosed between the ages of 30-45, a special sub-type?].

    abstract::Diabetes diagnosed in the so-called middle age of life is debated from the typological point of view. The authors investigated 45 diabetics, whose disease had been diagnosed between the age of 30-45 years. As a result of their observations they state that diabetes in this age range is heterogenous. Patients can be cla...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Halmos T,Grósz A,Pánczél P,Gerö L,Kautzky L

    更新日期:1990-01-07 00:00:00

  • [Use of polyurethane foil for wound covering].

    abstract::The authors account of the application of the Omiderm folie in connection with 29 cases. The transparent polyurethan skin substitute was used in dermatological diseases when presenting extensive shortage of tissue or for covering the half-thick skin's donor areas and for the treatment of deep second degree burns. The ...

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    pub_type: 杂志文章

    doi:

    authors: Daróczy J,Szalai I

    更新日期:1991-06-02 00:00:00

  • [Health status of physicians in Hungary: a representative study].

    abstract:BACKGROUND:A growing body of evidence in the international literature suggests that the prevalence of psychiatric morbidity including suicide is high among physicians. In addition, data published by Hungarian researchers in the early 1990-ies showed high prevalence of somatic morbidity in this population. Based on thes...

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    pub_type: 杂志文章

    doi:

    authors: Gyorffy Z,Adám S,Kopp M

    更新日期:2005-06-26 00:00:00