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    PublicationOpen Access
    Sentinel Lymph Node (SLN) Biopsy
    (2009) Panuwat Lertsithichai; ภาณุวัฒน์ เลิศสิทธิชัย; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Surgery
    Sentinel lymph node (SLN) biopsy is an accepted method for evaluating cancer spread to the regional lymphatic system. The use of SLN biopsy has been validated, or studied, on many solid cancers, including those of the thyroid, breast... is an outstanding issue. Specifically, the clinical significance of "small volume" tumor involvement of the lymph nodes is unclear.
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    ItemOpen Access
    คู่มือปฏิบัติงานการพยาบาลผู้ป่วยผ่าตัด Sentinel Lymph Node Biopsy (SLNB) In Breast Cancer
    (2555) ชาลิลา พรมทอง; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ห้องผ่าตัดศัลยศาสตร์ งานการพยาบาลผ่าตัด
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    Sentinel lymph node biopsy after neoadjuvant treatment of breast cancer using blue dye, radioisotope, and indocyanine green: Prospective cohort study
    (2020-11-01) Prakasit Chirappapha; Tanet Chatmongkonwat; Panuwat Lertsithichai; Wiriya Pipatsakulroj; Chanika Sritara; Thongchai Sukarayothin; Faculty of Medicine, Ramathibodi Hospital, Mahidol University
    , and achieving complete pathological response (a surrogate marker for overall survival). However, in the post neoadjuvant settings, sentinel lymph node biopsy can be done using a dual staining technique to decrease the false-negative rate (FNR) and increase... the detection rate. However, many hospitals are not equipped to use radioisotopes. Here we investigate the detection rate and accuracy of sentinel lymph node biopsy in post neoadjuvant treatment breast cancer, comparing radioisotope, isosulfan blue
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    Indocyanine green fluorescence versus blue dye or radioisotope regarding detection rate of sentinel lymph node biopsy and nodes removed in breast cancer: A systematic review and meta-analysis
    (2020-05-01) Sarun Thongvitokomarn; Nuanphan Polchai; Faculty of Medicine, Siriraj Hospital, Mahidol University; Srinakharinwirot University
    © 2020, Asian Pacific Organization for Cancer Prevention. Background: Either blue dye (BD) or radioisotope (RI) is mainly used for sentinel lymph node biopsy (SLNB) in breast cancer patients. Unlike the BD, RI has lower false-negative rate of SLNB.... However, its lymphoscintigraphy, difficulty in preoperative injection, and undetected sentinel lymph nodes in some cases cause surgeons to rely only on BD. Currently, indocyanine green (ICG) fluorescence method (ICG-SLNB) is increasingly used
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    Diagnostic accuracy and challenges of intraoperative frozen section evaluation for axillary sentinel lymph node biopsy and breast margins
    (2025-01-01) Laokulrath N.; Nasir N.D.M.; Gudi M.; Tan P.H.; Laokulrath N.; Mahidol University
    Aims: Our study aims to audit and evaluate the accuracy and pitfalls of intraoperative evaluation of frozen sentinel lymph nodes (IOE-FSLN) and resection margins (IOE-FSM) compared to final findings in paraffin sections. Methods: A total of 264... cases underwent intraoperative evaluation, encompassing 688 sentinel lymph nodes (SLNs) and 1186 surgical margins. Frozen section (FS) diagnoses were compared with corresponding permanent sections of FS (PFS). Sensitivity, specificity, false-negative
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    Should sentinel lymph node biopsy be performed in ductal carcinoma in situ diagnosed on core needle biopsy?
    (2020-05-01) D. Sa-Nguanraksa; A. Vongjirad; N. Samarnthai; M. Warnnissorn; T. Thumrongtaradol; P. O-Charoenrat; Faculty of Medicine, Siriraj Hospital, Mahidol University
    © JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2020 Background: The implementation of sentinel lymph node biopsy (SLNB) when ductal carcinoma in situ (DCIS) diagnosed from core needle biopsy (CNBx) is controversial. Objective: To investigate
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    Touch imprint cytological analysis of sentinel lymph nodes for detecting axillary metastases in patients with breast cancer
    (1999-10-25) A. Ratanawichitrasin; C. V. Biscotti; L. Levy; J. P. Crowe; Cleveland Clinic Foundation; Mahidol University
    Background: Sentinel lymph node biopsy is a procedure that examines the first tumour-draining lymph node. Touch imprint cytology may provide a quick method for intraoperative screening of sentinel lymph nodes for the presence of metastases. Methods...: Touch imprint cytological analysis of sentinel lymph nodes was compared prospectively with the findings obtained on routine paraffin sections. Touch imprint slides from 55 patients with breast cancer were prepared during operation from multiple sections
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    Comparative efficacy of indocyanine green and Tc-99m for sentinel lymph node biopsy in breast cancer: Upfront surgery and post-neoadjuvant chemotherapy
    (2025-01-01) Tarapongpun T.; Lai H.W.; Liao C.Y.; Lin S.L.; Huang H.I.; Chen S.T.; Chen D.R.; Tarapongpun T.; Mahidol University
    Background: This retrospective study aimed to compare the sensitivity of sentinel lymph node (SLN) detection using indocyanine green (ICG), Technetium-99 (Tc-99m), and combined technique (ICG + Tc-99m) in clinical node-negative early-stage breast... in combination during the SLN biopsy. The primary outcome was the SLN detection rate (per case) and nodal detection rate (per node) compared between ICG, Tc-99m, and combined technique. Results: 176 patients (128 upfront surgery, 48 post-NAC) were analyzed and a
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    Nomogram to predict non-sentinel lymph node status using total tumor load determined by one-step nucleic acid amplification: first report from Thailand
    (2019-07-01) Doonyapat Sa-nguanraksa; Eng O-charoenrat; Anchalee Kulprom; Norasate Samarnthai; Visnu Lohsiriwat; Kampanart Nimpoonsri; Pornchai O-charoenrat; UCL; Faculty of Medicine, Siriraj Hospital, Mahidol University
    was to create nomogram for prediction of non-sentinel lymph node (NSLN) status using OSNA to avoid unnecessary ALND. Patients and methods: Patients with invasive breast cancer T1–T3 and clinically negative axillary lymph nodes underwent SLN biopsy assessed... for intra-operative assessment of sentinel lymph nodes (SLN) as it can semi-quantitatively determine the tumor burden in these SLN. Axillary lymph node dissection (ALND) may be omitted in patients with limited disease in the axilla. The objective
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    Breast cancer cells in the afferent lymphatic tracts of sentinel lymph nodes
    (2012-07-01) Prakasit Chirappapha; Kampol Ratchaworapong; Sansanee Wongwaisayawan; Panuwat Lertsithichai; Ronnarat Suvikapakornkul; Yodying Wasuthit; Youwanush Kongdan; Mahidol University
    Background: To identify breast cancer cells in the afferent lymphatic tracts of axillary sentinel lymph nodes (SLNs). Material and Method: The authors performed a prospective study of 100 breast cancer patients who underwent SLN biopsy between June