The Sentinel Node in Surgical Oncology
The Sentinel Node in Surgical Oncology
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肿瘤外科的前哨节点
DOI：
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发表时间：
1999
期刊：
影响因子：
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通讯作者：
P. Ell
中科院分区：
文献类型：
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作者：
M. Keshtgar;W. Waddington;S. Lakhani;P. Ell
这本书，对前哨淋巴结检测的全面审查，是面向核医学医生，病理学家，外科医生，技术人员，和卫生保健提供者感兴趣的肿瘤检测和切除领域的增长。前言解释了前哨淋巴结检测如何改变我们对癌症治疗的看法，并可能显著影响治疗算法，前言解释了多学科团队方法对这种治疗方法的重要性。良好的介绍，以及说明章节包括探针选择，放射性药物，病理学，成像技术，剂量学，辐射防护和成本效益。《欧洲核医学杂志》先前发表了三个章节，这些章节特别有插图，并有许多表格。主要集中在乳腺癌和恶性黑色素瘤，但阴茎癌和结肠癌也被提及。一个简短的讨论使用蓝色染料在前哨淋巴结定位有助于广泛的吸引力和独特的书。技术，外科成像和病理学讨论得很好，并包括一个有用的章节剂量学和辐射防护的卫生保健提供者。本章的内容很有意思，因为许多卫生保健提供者，特别是那些不习惯处理辐射的人，都很担心辐射。这个问题得到了充分的解决，包括关于辐射防护的细节。最后一个优点是，这本书充满了同行评议的参考资料。这本书的缺点之一是重复。例如，第1章和第4章分别讨论了探头的选择。有4位作者，和2章编辑的其他贡献者，这本书是一个汇编的努力和阅读。其他不足之处是对患者准备的肤浅讨论和缺乏疼痛管理的信息。此外，主题索引是不完整的，往往不直接到所有相关的网页。另一个缺点是这本书主要是为欧洲人写的。作者描述了欧洲在前哨淋巴结检测和淋巴结造影方面的实践，并包括欧洲恶性黑色素瘤检测的一章。他们使用许多欧洲医生熟悉的术语，例如手术室的术语“剧院”。在关于临床病例的章节中，讨论的放射性药物主要在欧洲使用，对于美国读者来说，更详细地讨论美国可用的放射性药物和胶体颗粒剂量的大小会很有用。除了这个缺点，本章的其他弱点包括病例之间的相似性，教学点的简单化，以及放射性药物，剂量，患者准备和其他补充研究的信息不足。一些关于珍珠和陷阱的讨论也应该包括在内。总的来说，我认为这篇文章是前哨淋巴结检测领域初学者的入门读物。它是有用的多学科方法，这种治疗方法，是书面的方式，所有人都可以理解。清晰的文字和高质量的数字和表格为新来者提供了基本的技术和信息的有用性前哨淋巴结检测。
This book, a comprehensive review on sentinel node detection, is geared toward nuclear medicine physicians, pathologists, surgeons, technologists, and health care providers interested in the growing field of tumor detection and removal. The foreword explains how sentinel node detection can alter our perception of cancer treatment and potentially influence treatment algorithms significantly, and the preface explains the importance of a multidisciplinary team approach to this method of treatment. Well-presented, well-illustrated chapters are included on probe selection, radiopharmaceuticals, pathology, imaging techniques, dosimetry, radiation protection, and cost-effectiveness. Three chapters were previously published in the European Journal of Nuclear Medicine , and these are particularly well illustrated and have many tables. The main focus is on breast cancer and malignant melanoma, but penile carcinoma and colon cancer are also mentioned. A brief discussion on the use of blue dye in sentinel node localization contributes to the broad appeal and uniqueness of the book. Techniques, surgical imaging, and pathology are discussed well, and a useful chapter is included on dosimetry and radiation protection for health care providers. Inclusion of this chapter is interesting because many health care providers, especially those not used to dealing with radiation, are concerned about exposure. The issue is adequately addressed, including details on radiation protection. A final strong point is that the book is replete with peerreviewed references. Among the shortcomings of the book is its repetitiveness. For example, probe selection is discussed in chapter 1 and again in chapter 4. With 4 authors, and with 2 chapters edited by other contributors, the book is a compilation of efforts and reads as such. Other deficiencies are the superficial discussion of patient preparation and the lack of information on pain management. In addition, the subject index is incomplete and often does not direct one to all pertinent pages. Another shortcoming is that the book was written mainly for Europeans. The authors describe the European practice in sentinel node detection and lymphoscintigraphy and include a chapter on malignant melanoma detection in Europe. They use many terms familiar to European physicians, such as the term “theater” for operating room. In the chapter on clinical cases, the radiopharmaceuticals discussed are used mainly in Europe, and for U.S. readers a more detailed discussion on radiopharmaceuticals available in the United States and on the size of colloid particle doses would have been useful. Besides this shortcoming, other weak points in the chapter include the similarity among the cases, the simplism of the teaching points, and the inadequacy of the information on radiopharmaceuticals, doses, patient preparation, and other complementary studies. Some discussion on pearls and pitfalls should also have been included. Overall, I consider this text a primer for beginners in the field of sentinel node detection. It is useful for a multidisciplinary approach to this method of treatment and is written in a manner that all can understand. The clarity of the text and the high-quality figures and tables provide newcomers with fundamentals on the technique and information on the usefulness of sentinel node detection.