Fluorescence diagnosis: a novel method to guide radical inguinal lymph node dissection in penile cancer
In penile cancer there is still a diagnostic dilemma between over treatment of lymph node-negative patients and the missing of occult metastases by watchful waiting. In the current study the value of fluorescence diagnosis during radical inguinal lymph node dissection was evaluated. Five patients wi...
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| Published in | World journal of urology Vol. 22; no. 2; pp. 150 - 154 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Heidelberg
Springer
01.06.2004
Berlin Springer Nature B.V New York, NY |
| Subjects | |
| Online Access | Get full text |
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| Abstract | In penile cancer there is still a diagnostic dilemma between over treatment of lymph node-negative patients and the missing of occult metastases by watchful waiting. In the current study the value of fluorescence diagnosis during radical inguinal lymph node dissection was evaluated. Five patients with penile cancer were elected to undergo groin dissection. All patients received 5-aminolevulinic acid (5-ALA) orally before the operation for fluorescence diagnosis. Intraoperatively, fluorescence detection of the lymph nodes was performed by visual detection and spectroscopy. Two of the five patients had positive inguinal lymph nodes. Fluorescence in tumor-bearing tissue was detectable in the exposed lymph nodes. Protoporphyrin IX (PPIX) is accumulated in tumor-positive lymph nodes, making fluorescence diagnosis in penile cancer possible. More studies with higher patient numbers are necessary to evaluate optimal dosage and excitation conditions to detect tumor-bearing nodes in vivo. |
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| AbstractList | In penile cancer there is still a diagnostic dilemma between over treatment of lymph node-negative patients and the missing of occult metastases by watchful waiting. In the current study the value of fluorescence diagnosis during radical inguinal lymph node dissection was evaluated. Five patients with penile cancer were elected to undergo groin dissection. All patients received 5-aminolevulinic acid (5-ALA) orally before the operation for fluorescence diagnosis. Intraoperatively, fluorescence detection of the lymph nodes was performed by visual detection and spectroscopy. Two of the five patients had positive inguinal lymph nodes. Fluorescence in tumor-bearing tissue was detectable in the exposed lymph nodes. Protoporphyrin IX (PPIX) is accumulated in tumor-positive lymph nodes, making fluorescence diagnosis in penile cancer possible. More studies with higher patient numbers are necessary to evaluate optimal dosage and excitation conditions to detect tumor-bearing nodes in vivo. |
| Author | SCHMELLER, N MEISSNER, H WAIDELICH, R SCHNEEDE, P HOFSTETTER, A STEPP, H LINKE, R FRIMBERGER, D ZAAK, D HUNGERHUBER, E |
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| Keywords | Nephrology Guide Lymph node Fluorescence Malignant tumor Inguinal Method Radical Urology Penile diseases Fluorescence diagnosis Treatment Surgery Sentinel node Penis cancer Minimal invasive Diagnosis Lymphoscintigraphy Male genital diseases Dissection Penile carcinoma |
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| SubjectTerms | Biological and medical sciences Fluorescence Follow-Up Studies Humans Lymph Node Excision - methods Lymphatic Metastasis Male Medical sciences Nephrology. Urinary tract diseases Penile Neoplasms - pathology Penile Neoplasms - surgery Protoporphyrins |
| Title | Fluorescence diagnosis: a novel method to guide radical inguinal lymph node dissection in penile cancer |
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