Optimization of near-infrared fluorescent sentinel lymph node mapping for vulvar cancer.

ABSTRACT:

Objectives

Near-infrared fluorescence imaging has the potential to improve sentinel lymph node mapping in vulvar cancer, which was assessed in the current study. Furthermore, dose optimization of indocyanine green adsorbed to human serum albumin was performed.

Study design

Nine vulvar cancer patients underwent the standard sentinel lymph node procedure using (99m)technetium-nancolloid and patent blue. In addition, intraoperative imaging was performed after peritumoral injection of 1.6 mL of 500, 750, or 1000 ?M of indocyanine green adsorbed to human serum albumin.

Results

Near-infrared fluorescence sentinel lymph node mapping was successful in all patients. A total of 14 sentinel lymph nodes (average, 1.6; range, 1-4) were detected: 14 radioactive (100%), 11 blue (79%), and 14 near-infrared fluorescent (100%).

Conclusion

This study demonstrates feasibility and accuracy of sentinel lymph node mapping using indocyanine green adsorbed to human serum albumin. Considering safety, cost, and pharmacy preferences, an indocyanine green adsorbed to human serum albumin concentration of 500 ?M appears optimal for sentinel lymph node mapping in vulvar cancer.

SUBMITTER: Hutteman M 

PROVIDER: S-EPMC3246078 | biostudies-literature | 2012 Jan

REPOSITORIES: biostudies-literature