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Biopsy of sentinel lymph node for penile cancer

Implementation

The injection is performed at the department of nuclear medicine in the morning of the operation day.  

  • The patient lies in the supine position.
  • 99m Tc-labeled colloidal human albumin is injected into the base of the tumor.  
  • Images are taken after 30 minutes with a gamma camera to localize radioactivity in the nodes.

In the operating theater 

  • A gamma camera is used for precise preoperative localization of the sentinel node.
  • A small incision is made in the skin over the node.
  • The node is retrieved through the incision.
  • The skin is sutured with absorbable sutures.
  • The node is sent unfixed for frozen sectioning to the pathologist.

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