Radiation doses to staff involved in sentinel node operations for breast cancer

Klausen, Thomas Levin; Chakera, Annette Hougaard; Friis, Esbern; Rank, Fritz; Hesse, Birger; Holm, Søren

doi:10.1111/j.1475-097x.2005.00611.x

Cited by 47 publications

(32 citation statements)

References 27 publications

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“…A pregnant surgeon who participates in up to 100 SLN operations will stay below the limit of radiation exposure as recommended for pregnant women [135]. For a scrub nurse the exposure will be even less due to the larger distance from the source.…”

Section: Pregnant Staff In the Operating Roommentioning

confidence: 98%

“…Studies have demonstrated that the occupational doses are insignificant: the mean whole-body dose received by surgical staff has been measured at <1 μSv per operation [116,[133][134][135], with the maximum effective dose to the surgeons involved reported to be <2 μSv [34,116,136] . The radiation dose to the hands of the surgeon has been estimated to be 5 -94 μSv per patient [120].…”

Section: Staff In the Operating Roommentioning

confidence: 99%

See 1 more Smart Citation

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

Bluemel

Herrmann

Giammarile

et al. 2015

Eur J Nucl Med Mol Imaging

118

131

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Section: Pregnant Staff In the Operating Roommentioning

confidence: 98%

Section: Staff In the Operating Roommentioning

confidence: 99%

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

Bluemel

Herrmann

Giammarile

et al. 2015

Eur J Nucl Med Mol Imaging

118

131

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show abstract

“…Average exposure levels to the surgeon, anaesthetist, scrub nurses and operating room nurses were measured with digital dosimeters and reached up to 1 µSv/hour. According to published sources, the average exposure levels to operating-room staff were less than 1 µSv per one procedure during sentinel lymph node biopsy of patients with skin melanoma or breast cancer (9)(10)(11). The recommendations of the European Society of Nuclear Medicine state that the monitoring of operating room staff for professional exposure and additional measures of screening from ionizing radiation are not necessary.…”

Section: Discussionmentioning

confidence: 99%

Clinical results of vulvar cancer treatment in early stages based on sentinel lymph node biopsy and classic surgical treatment in the Institute of Oncology of Vilnius University between 2011 and 2013

Žilinskas¹,

Maculevič²,

Volochovič³

et al. 2014

AML

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Background. Radical vulvectomy accompanied by bilateral inguinal lymph nodes dissection (ILND) has been performed to treat cancer for a long time but, due to various short and long term postoperative complications, alternatives have been found. The objective was to compare the clinical results of vulvar cancer treatment in early stages based on sentinel lymph node(s) biopsy (SLNB) and classic surgical treatment and to evaluate the radiological safety of SLNB.Materials and methods. Retrospective study involved 26 patients with clinical stage I-II of vulvar carcinoma treated in the Institute of Oncology, Vilnius University, between 2011 and 2013. The women were divided into two groups: 14 patients underwent a reduced surgical treatment based on the SLNB method, and 12 patients underwent a classic surgical treatment.Results. After SLNB and intraoperative histological examination, 9 patients in the first group underwent radical tumour excision, while the others underwent ipsilateral or bilateral ILND. Final histological examination detected metastases in lymph nodes in 4 patients from the first group and 3 patients from the second group. The average surgery duration on the patients undergoing only SLNB and radical tumour excision was 77.2 minutes, and the classical surgery took 177.7 minutes. Average exposure levels measured in the first group reached up to 1 µSv/hour.Conclusions. Surgery treatment based on SLNB for patients with early stages of vulvar carcinoma can reduce the extent of surgical interventions. Exposure limits to the patients and staff were safe.

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“…Enjeksiyon ile cerrahi arasındaki zaman arttıkça ekibin aldığı doz da azalmaktadır (16,17). Yıllık toplumun alabileceği doz limiti 1 mSv düşünüldüğünde bu radyasyon dozunun önemsenmeyecek seviyelerde olduğu söylenebilir.…”

Section: Sentinel Lenf Bezi Biyopsisi Dikkat Edilmesi Gerekenlerveuyaunclassified

Sentinel Lymph Node Biopsy: Actual Approaches

Tuncel¹,

Salancı²,

Bozkurt³

2017

Nts

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Öz Abstract GirişKanser yayılımında en önemli yollardan biri lenfatik yayılımdır. On yedinci yüzyılda lenfatik sistemin tanımlanması ve ardından kanserdeki rolünün saptanmaya başlaması ile bu konuda çeşitli çalışmalar yapılmıştır. Bu araştırmaların sonucunda bugün kanserin yerleştiği bölgeye bağlı olarak önce bölgesel lenf bezlerine ilerlediği ve klinik tanıdan çok daha önce bu bölgesel lenf bezlerinde mikrometastazların gerçekleştiği bilinmektedir. Bu bilgi özellikle meme kanseri ve malign melanom gibi kanserlerde sentinel lenf bezi (SLB) kavramının doğmasını sağlamıştır (1). İlk SLB tanımı Cabanas tarafından penil kanserde yapılmıştır (2). Lenfosintigrafinin SLB saptanmasında kullanılması Chiappa ve ark.'nın 1966'da testiküler kanserlerde yaptığı çalışma ile başlamıştır (3). Morton ve ark.'nın 194 malign melanom hastasında lenfosintigrafi kullanılarak lenfatik yayılımın araştırdığı çalışma SLB'nin örneklemesinin önünü açmış olup, günümüzde SLB sintigrafisi rutin uygulama kılavuzlarında yerini almıştır (4). Meme kanserlerinde de Christensen ve ark. ile başlayan çalışmalar koruyucu meme cerrahisi uygulamalarının yaygınlaşmasına ve hastaların daha az cerrahi komplikasyon ile tedavi edilmelerine olanak vermiştir (5). Son yıllarda gelişen görüntüleme ve intraoperatif deteksiyon teknolojileri sayesinde SLB biyopsisinin (SLBB) başarısı ve kullanım sıklığı

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Radiation doses to staff involved in sentinel node operations for breast cancer

Abstract: The radiation exposure to the staff involved in sentinel node (SN) biopsy for breast cancer using radioactive labelled tracers will be considerably below the permissible limits, even with high numbers of SN biopsy procedures. Pregnant staff members should participate in <100 SN operations.

Cited by 47 publications

References 27 publications

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

Clinical results of vulvar cancer treatment in early stages based on sentinel lymph node biopsy and classic surgical treatment in the Institute of Oncology of Vilnius University between 2011 and 2013

Sentinel Lymph Node Biopsy: Actual Approaches

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Radiation doses to staff involved in sentinel node operations for breast cancer

Cited by 47 publications

References 27 publications

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

EANM practice guidelines for lymphoscintigraphy and sentinel lymph node biopsy in melanoma

Clinical results of vulvar cancer treatment in early stages based on sentinel lymph node biopsy and classic surgical treatment in the Institute of Onco­logy of Vilnius University between 2011 and 2013

Sentinel Lymph Node Biopsy: Actual Approaches

Contact Info

Product

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Clinical results of vulvar cancer treatment in early stages based on sentinel lymph node biopsy and classic surgical treatment in the Institute of Oncology of Vilnius University between 2011 and 2013