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. 2015 Dec;49(4):318-20.
doi: 10.1007/s13139-015-0341-5. Epub 2015 May 13.

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

Elgin Ozkan  1 , Aydan Eroglu  2
Affiliations

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

Elgin Ozkan et al. Nucl Med Mol Imaging. 2015 Dec.

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.

Keywords: Handheld gamma camera; Melanoma; Radionuclide imaging; Sentinel lymph node biopsy.

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Figures

Fig. 1
Fig. 1
Anterior (a) and posterior (b) static images from the thoracal region were taken by dual-headed gamma camera. Axillar (black arrow) and epitrochlear (red arrow) lymphatic drainage was seen on the right upper extremity
Fig. 2
Fig. 2
Picture of the intraoperative handheld gamma camera (CrystalCam, Crystal Photonics-Germany)
Fig. 3
Fig. 3
Activity accumulation was detected by the intraoperative handheld gamma camera on the epitrochlear region in four foci
Fig. 4
Fig. 4
Epitrochlear lymph node dissection
See this image and copyright information in PMC

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