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Medicina Legal de Costa Rica
versão On-line ISSN 2215-5287versão impressa ISSN 1409-0015
Resumo
PICCOLO JOHANNING, Loretta e BRENES LENERO, Eduardo. Actualidades del ganglio centinela en el melanoma cutáneo. Med. leg. Costa Rica [online]. 2015, vol.32, n.2, pp.109-119. ISSN 2215-5287.
Sentinel node biopsy technique has evolved in a way that it has managed to replace elective lymph node dissection for the evaluation of regional nodal metastases in patients with primary cutaneous melanoma. As a minimally invasive procedure, it is considered a great staging and prognostic tool, being the only diagnostic test with both high sensitivity and specificity that allows the detection of clinically negative nodal disease below the threshold of any other non pathological technique. Under this concept a number of therapeutic guidelines and research studies that support them have been developed. This review is intended to help guide the clinician and surgeon in the management of this type of patient.
Palavras-chave : Melanoma; sentinel lymph node; biopsy.