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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.14.M.Sc.2016.Mo.I
100 0 _aMohamed Nasr Shazly Hafez
245 1 0 _aIntraoperative ultrasound assessment of sentinel lymph node biopsy in early breast cancer /
_cMohamed Nasr Shazly Hafez ; Supervised Sayed Marei , Emad Khallaf , Rasha Wessam
246 1 5 _aاستعمال الموجات الفوق صوتية أثناء العملية الجراحية فى تقييم الغدد اليمفاوية الحارسة فى مرضى سرطان الثدى المبكر
260 _aCairo :
_bMohamed Nasr Shazly Hafez ,
_c2016
300 _a119 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery
520 _aAxillary lymph node dissection (ALND) has been regarded for most of the 20th century as the 2gold standard3 operation to achieve these goals, but has largely been replaced over the past decade by sentinel lymph node (SLN) biopsy, first reported by Krag et al. in 1993 and Giuliano et al. in 1994 which allows the avoidance of ALND in SLN negative patients, sparing them the morbidity of a larger operation (eg: lymphedema , sensory loss, nerve injury, shoulder dysfunction) and the staging accuracy is at least equivalent. The sentinel lymph node (SLN) is the gatekeeper of the lymphatic basin; it is the first node to receive lymphatic drainage of the tumor. In theory, if the SLN does not involve metastases, the other lymph nodes are also negative. Accepting the accuracy of this theory prevents unnecessary axillary dissection. Today, there are two different methods used for SLN determination, including the use of a surgical gamma probe by preoperative lymphoscintigraphy and lymphatic mapping using blue dyes . However, a combined use of these two methods has yielded more successful results
530 _aIssued also as CD
653 4 _aEarly breast cancer
653 4 _aIntraoperative ultrasound
653 4 _aSentinel lymph node biopsy
700 0 _aEmad Khallaf ,
_eSupervisor
700 0 _aRasha Wessam ,
_eSupervisor
700 0 _aSayed Marei ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aEnas
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c60119
_d60119