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Protocol for the Examination of Specimens From Patients With Melanoma of the Skin Protocol applies to melanoma of cutaneous surfaces only. Based on JCC/ICC TNM, 7th edition Protocol web posting date:
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How to fill out sentinel node examination

01
First, identify the location of the sentinel node, which is typically the first lymph node that cancer is likely to spread to from the primary tumor.
02
Prepare the patient for the procedure by ensuring they are adequately anesthetized and in a suitable position.
03
Mark the location of the sentinel node on the skin as a reference point.
04
Cleanse the area around the marked site with an antiseptic solution to minimize the risk of infection.
05
Administer a local anesthetic to numb the area, which helps minimize discomfort during the examination.
06
Make a small incision near the marked location to access the sentinel node.
07
Carefully dissect and remove the sentinel node without damaging surrounding structures.
08
Examine the sentinel node for any signs of cancer cells using various diagnostic techniques, such as microscopic examination or immunohistochemistry.
09
Depending on the results, decide on further treatment options, such as additional surgery, radiation therapy, or targeted therapy.
10
Close the incision site with sutures or adhesive strips and provide appropriate post-operative care.

Who needs sentinel node examination?

01
Sentinel node examination is commonly performed for individuals with certain types of cancer, particularly breast cancer and melanoma.
02
It is used to determine if cancer cells have spread to the lymph nodes, which helps with staging the disease and deciding on appropriate treatment strategies.
03
Patients who have been diagnosed with early-stage cancer or have a high risk of lymph node involvement are usually recommended to undergo sentinel node examination.
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Sentinel node examination is a procedure where the first lymph node(s) to which cancer is likely to spread are identified and removed for further analysis.
Patients who have been diagnosed with cancer and are undergoing surgery to remove tumors may be required to undergo sentinel node examination.
Sentinel node examination is typically performed by a surgeon during the same surgery where the tumor is being removed. The surgeon will identify and remove the sentinel node(s) and send them to a pathologist for analysis.
The purpose of sentinel node examination is to determine if cancer has spread to the lymph nodes, which can help guide treatment decisions and provide prognostic information.
The results of the sentinel node examination should include the number of sentinel nodes removed, whether cancer was present in the nodes, and any other relevant findings.
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