Surgical Film Library-Sentinel Lymph Node Biopsy With Technetium-99M And Fluorescence Indocyanine Green For Vulvar Melanoma

Sentinel Lymph Node Biopsy With Technetium-99M And Fluorescence Indocyanine Green For Vulvar Melanoma

Video Transcription

Video Summary

This presentation discusses sentinel lymph node biopsy (SLNB) using technetium-99 and indocyanine green (ICG) fluorescence for vulvar melanoma, a rare cancer. Standard treatment involves radical excision and lymphadenectomy, which carries high morbidity and lymphedema risk. SLNB offers a safer alternative for selected patients. A 65-year-old woman with vulvar melanoma underwent radical vulvectomy and bilateral SLNB using preoperative technetium-99 lymphoscintigraphy and intraoperative ICG instead of isosulfan blue. The approach allowed successful real-time lymphatic mapping and node removal. Results confirmed metastases in sentinel nodes. SLNB with technetium-99 and ICG is feasible and may benefit high BMI patients; further research is needed.

Asset Subtitle

Isabel Bernal, United States

Meta Tag

Route Open

Skill Level Novice

Surgical Location Inguinal

Keywords

Open

Inguinal

Novice

Sentinel lymph node biopsy

Technetium-99

Indocyanine green fluorescence

Vulvar melanoma

Lymphoscintigraphy