Consideration of doses to some OARs depending on differently chosen CTV margins of lymph nodes in EBRT treatment of the stomach cancer

The concept of biopsy of sentinel lymph node as the first lymph node in the pathway of lymphogenous tumor spread has been actively discussed over the past decades and has already taken its rightful place in breast and melanoma surgery. The goal of this method is to exclude vain lymphadenectomy in patients without solid tumor metastases in regional lymph nodes. In the era of minimally invasive and organ-saving operations interventions it seems obvious an idea to introduce a biopsy of sentinel lymph node in surgery of early gastric cancer. Meanwhile the complexity of lymphatic system of the stomach and the presence of so-called skip metastases are factors limiting the introduction of a biopsy of sentinel lymph node in stomach cancer. This article presents a systematic analysis of biopsy technology of signaling lymph node as well as its safety and oncological adequacy. Based on literature data it seems to us that the special value of biopsy of sentinel lymph nodes in the future will be in the selection of personalized surgical tactics for stomach cancer.

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Diagnosis of Lymph Nodes with Metastasis from Stomach Cancer Using Ultrasonography

Recent Advances in Management of Digestive Cancers ◽

10.1007/978-4-431-68252-3_64 ◽

1993 ◽

pp. 269-271

Author(s):

Youichi Kitamura ◽

Hiroyoshi Suzuki ◽

Tsuyoshi Sasagawa ◽

Kiyotaka Yamamoto

Keyword(s):

Lymph Nodes ◽

Stomach Cancer

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Ultrasonic detection of lymph nodes in stomach cancer: around celiac axis

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1990.26.6.1186 ◽

1990 ◽

Vol 26 (6) ◽

pp. 1186

Author(s):

A L Lim ◽

G S Yang ◽

C H Yoon

Keyword(s):

Lymph Nodes ◽

Stomach Cancer ◽

Celiac Axis ◽

Ultrasonic Detection

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State of regional lymph nodes and prognosis in stomach cancer

Kazan medical journal ◽

10.17750/kmj2017-328 ◽

2017 ◽

Vol 98 (3) ◽

pp. 328-333

Author(s):

A B Bazhanov ◽

D E Tsyplakov

Keyword(s):

Lymph Nodes ◽

Stomach Cancer ◽

Lymphoid Tissue ◽

Direct Method ◽

Regional Lymph Node ◽

Sinus Histiocytosis ◽

Ultrastructural Changes ◽

Regional Lymph Nodes ◽

Oncologic Patients ◽

Paracortical Area

Aim. Multiparameter analysis of the state of regional lymph nodes of stomach cancer to reveal prognostic criteria of patients’ 5-year survival. Methods. The regional lymph nodes removed during surgery for stomach cancer in 170 oncologic patients were studied by means of histologic, immunohistochemical, electron microscopy and morphometric methods. The 5-year survival was calculated by the direct method. Results. It was revealed that 5-year survival directly depends on the amount of involved lymph nodes. Detection of even single tumor cells in one regional lymph node worsens the prognosis for a patient’s life. The more metastases there are in lymph tissue, the worse the prognosis is. Immunomorphologic reactions and ultrastructural changes are of substantial significance. High 5-year survival was characteristic for hyperplasia of paracortical area with increased number of CD3(+) T-cells, the ultrastructure of which corresponds to activated (immune) lymphocytes, and for sinus histiocytosis as well with increased number of CD68(+) free macrophages in regional lymph nodes with pronounced phagocytic activity. Prognosis is worse in lymphoid follicular hyperplasia with high content of CD20(+) B-cells and plasmocytes. The lowest 5-year survival was accompanied by degenerative sinus histiocytosis, atrophy or sclerolipomatosis transformation of lymphoid tissue with hypoplasia of paracortical area and lymphoid follicles. Under an electron microscope active fibroblasts are seen synthesizing collagen and large number of degenerating cell forms, particularly, lymphocytes. Conclusion. The 5-year survival of oncologic patients with stomach cancer is determined by the amount of metastatic regional lymph nodes, presence or absence of metastases, their volume in lymphoid tissue, histologic pattern and ultrastructural cell changes; comparative analysis of these criteria allows developing prognostic algorithm.

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Scanning electron microscopy of freeze-fractured prescapular lymph node of caprine

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100111331 ◽

1984 ◽

Vol 42 ◽

pp. 244-245

Author(s):

O. Faroon ◽

F. Al-Bagdadi ◽

T. G. Snider ◽

C. Titkemeyer

Keyword(s):

Lymph Node ◽

Lymph Nodes ◽

Lymphatic System ◽

Three Dimensional ◽

Meat Products ◽

The Body ◽

Morphological Data ◽

The World ◽

Cellular Constituent ◽

Scanning Electron

The lymphatic system is very important in the immunological activities of the body. Clinicians confirm the diagnosis of infectious diseases by palpating the involved cutaneous lymph node for changes in size, heat, and consistency. Clinical pathologists diagnose systemic diseases through biopsies of superficial lymph nodes. In many parts of the world the goat is considered as an important source of milk and meat products.The lymphatic system has been studied extensively. These studies lack precise information on the natural morphology of the lymph nodes and their vascular and cellular constituent. This is due to using improper technique for such studies. A few studies used the SEM, conducted by cutting the lymph node with a blade. The morphological data collected by this method are artificial and do not reflect the normal three dimensional surface of the examined area of the lymph node. SEM has been used to study the lymph vessels and lymph nodes of different animals. No information on the cutaneous lymph nodes of the goat has ever been collected using the scanning electron microscope.

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Microvasculature and structure of hemal lymph nodes in the wall of the rabbit bladder: a vascular corrosion casting and EM study

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100141743 ◽

1995 ◽

Vol 53 ◽

pp. 1074-1075

Author(s):

F.E. Hossler ◽

M.I. McKamey ◽

F.C. Monson

Keyword(s):

Lymph Nodes ◽

Light Microscopy ◽

Corrosion Casting ◽

Fixed Tissue ◽

Infusion Pressure ◽

India Ink ◽

Cacodylate Buffer ◽

Rabbit Bladder ◽

Lateral Walls ◽

Comprehensive Study

A comprehensive study of the microvasculature of the normal rabbit bladder, revealed unusual "capillary glomeruli" along the lateral walls. Here they are characterized as hemal lymph nodes using light microscopy, SEM, TEM, ink injection, and vascular casting.Bladders were perfused via a cannula placed in the abdominal aorta with either 2% glutaraldehyde in 0.1M cacodylate buffer (pH 7.4) for fixation, 10% India ink in 0.9% saline and 0.1M phosphate (pH 7.4) for vessel tracing, or resin (Mercoximethylmethacrylate: catalyst, 4:1:0.3; Ladd Research Industries) for vascular corrosion casting. Infusion pressure was 100mm Hg. Fixed tissue was sectioned from epon-araldyte resin, and stained with toluidine blue for light microscopy, and lead and uranium for TEM. Ink injected tissue was photographed directly from saline-filled bladders illuminated from below. Resin-filled tissue was macerated in 5% KOH and distilled water. Casts were critical point dried, sputter coated with goldpalladium, and examined by routine SEM at 10 KV.

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