Usefulness of the dynamic sentinel node technique in patients with penile carcinoma

• Published in: Actas urologicas españolas Vol. 25; no. 6; pp. 409 - 414
• Main Authors: Benejam Gual, J M, García-Miralles Grávalos, R, Hidalgo Pardo, F, Muñoz Vélez, D, Hellín Hellín, D, Lago Rodríguez, J
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.06.2001
• Subjects: Adult; Carcinoma, Squamous Cell - pathology; Humans; Male; Penile Neoplasms - pathology; Sentinel Lymph Node Biopsy - methods
• ISSN: 0210-4806; 1699-7980

To explain and analyse when and how to use the new staging technique used in patients with squamous carcinoma of the penis, through the procedure of dynamic biopsy of the sentinel lymph node. We demonstrate the technical application of the dynamic biopsy of the sentinel lymph node, in a 40-year-old patient, diagnosed as suffering from squamous carcinoma of the penis. We use preoperative lymphatic visualization through lymphogammagraphy, together with intraoperative detection through gamma scanning, in order to detect and identify the sentinel lymph node. We consider the dynamic biopsy of the sentinel node by the individual pattern of the lymphatic drainage as a new applicable Nuclear Medicina technique. It is an extremely useful technique in order to achieve early dissemination, by allowing us to identify patients with sub-clinic lymphatic spread, who will be candidates to regional lymphatic dissection.