Challenging Visualization of Sentinel Lymph Nodes in Upper Urinary Tract Urothelial Carcinoma.
Wojciech PolomWojciech CytawaAnna PolomFrankiewicz MikolajEdyta SzurowskaPiotr LassMarcin MatuszewskiPublished in: Journal of clinical medicine (2021)
We demonstrated that detection of SLNs in the upper urinary tract is possible yet challenging. Radiotracer injection in the upper urinary tract during ureterorenoscopy is difficult to perform, and the expected result of injection is unsatisfactory. Lymphatic outflow from the tumor site to the first LNs in our studied group of patients is visible in 10.5% of cases. SPECT/CT lymphangiography in cases of UTUC may provide valuable information about a patient's individual anatomy of the lymphatic system and the position of the first lymph nodes draining lymph with potential metastatic cells from the tumor.
Keyphrases
- urinary tract
- lymph node
- end stage renal disease
- neoadjuvant chemotherapy
- sentinel lymph node
- ejection fraction
- newly diagnosed
- chronic kidney disease
- computed tomography
- prognostic factors
- ultrasound guided
- peritoneal dialysis
- magnetic resonance imaging
- magnetic resonance
- case report
- healthcare
- human health
- contrast enhanced
- health information
- patient reported outcomes
- pet imaging
- solid state