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FältnamnIndikatorerMetadata
00004918naa a2200565 4500
001oai:gup.ub.gu.se/291564
003SwePub
008240528s2020 | |||||||||||000 ||eng|
009oai:lup.lub.lu.se:43ff29c7-8680-4225-a688-ce61f4384f92
024a https://gup.ub.gu.se/publication/2915642 URI
024a https://doi.org/10.1002/bjs.114602 DOI
024a https://lup.lub.lu.se/record/43ff29c7-8680-4225-a688-ce61f4384f922 URI
040 a (SwePub)gud (SwePub)lu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Moncrieff, M. D.u University of East Anglia,Norfolk and Norwich University Hospital NHS Trust4 aut
2451 0a Effect of delay between nuclear medicine scanning and sentinel node biopsy on outcome in patients with cutaneous melanoma
264 c 2020-02-19
264 1b Oxford University Press (OUP),c 2020
520 a Background Sentinel lymph node biopsy (SLNB) is an important staging tool for the management of melanoma. A multicentre study was done to validate previous findings that the timing of lymphoscintigraphy influences the accuracy of SLNB and patient outcomes, particularly survival. Methods Data were reviewed on patients undergoing SLNB for melanoma at three centres in the UK and Sweden, examining the effect of timing of SLNB after nuclear medicine scanning. Kaplan-Meier survival analysis was used to assess overall (OS), disease-specific (DSS) and progression-free (PFS) survival, stratified by timing of lymphoscintigraphy. Independent risk factors for survival were identified by Cox multivariable regression analysis. Results A total of 2270 patients were identified. Median follow-up was 56 months. Univariable analysis showed a 4 center dot 2 per cent absolute and 35 center dot 5 per cent relative benefit in DSS (hazard ratio 1 center dot 36, 95 per cent c.i. 1 center dot 05 to 1 center dot 74; P = 0 center dot 018) for 863 patients whose SLNB was performed up to 12 h after lymphoscintigraphy compared with 1407 patients who had surgery after more than 12 h. There were similar OS and PFS benefits (P = 0 center dot 036 and P = 0 center dot 022 respectively). Multivariable analysis identified timing of lymphoscintigraphy as an independent predictor of OS (P = 0 center dot 017) and DSS (P = 0 center dot 030). There was an excess of nodal recurrences as first site of recurrence in the group with delayed surgery (4 center dot 5 versus 2 center dot 5 per cent; P = 0 center dot 008). Conclusion Delaying SLNB beyond 12 h after lymphoscintigraphy with Tc-99-labelled nanocolloid has a significant negative survival impact in patients with melanoma.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653 a american joint committee
653 a intraoperative gamma-probe
653 a breast-cancer
653 a lymph-nodes
653 a mitotic rate
653 a lymphoscintigraphy
653 a identification
653 a metastasis
653 a validation
653 a age
653 a Surgery
700a O'Leary, F. M.u Norfolk and Norwich University Hospital NHS Trust4 aut
700a Beadsmoore, C. J.u Norfolk and Norwich University Hospital NHS Trust4 aut
700a Pawaroo, D.u Norfolk and Norwich University Hospital NHS Trust4 aut
700a Heaton, M. J.u Norfolk and Norwich University Hospital NHS Trust4 aut
700a Isaksson, K.u Lund University,Lunds universitet,Lunds Melanomstudiegrupp,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Lund Melanoma Study Group,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital4 aut0 (Swepub:lu)kir-kis
700a Olofsson Bagge, Roger,d 1978u University of Gothenburg,Gothenburg University,Göteborgs universitet,Wallenberg Centre for Molecular and Translational Medicine,Sahlgrenska University Hospital4 aut0 (Swepub:gu)xoloro
710a University of East Angliab Norfolk and Norwich University Hospital NHS Trust4 org
773t British Journal of Surgeryd : Oxford University Press (OUP)x 0007-1323x 1365-2168
856u https://academic.oup.com/bjs/article-pdf/107/6/669/35704029/bjs11460.pdf
856u http://dx.doi.org/10.1002/bjs.11460y FULLTEXT
8564 8u https://gup.ub.gu.se/publication/291564
8564 8u https://doi.org/10.1002/bjs.11460
8564 8u https://lup.lub.lu.se/record/43ff29c7-8680-4225-a688-ce61f4384f92

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