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The impact of methylene blue in colon cancer: a retrospective multicentric study

dc.contributor.authorCarvalho, A
dc.contributor.authorLimbert, M
dc.contributor.authorCabral, F
dc.contributor.authorFareleira, A
dc.contributor.authorDuarte, A
dc.contributor.authorBarroca, R
dc.contributor.authorGoulart, A
dc.contributor.authorLeão, P
dc.date.accessioned2024-09-15T19:25:05Z
dc.date.available2024-09-15T19:25:05Z
dc.date.issued2024
dc.description.abstractIntroduction: Discussions about the optimal lymph node (LN) count and its therapeutic consequences have persisted over time. The final LN count in colorectal tissues is affected by a variety of variables (patient, tumor, operation, pathologist, immune response). Methylene blue (MB) intra-arterial injection is a simple and inexpensive procedure that can be used to enhance lymph node count. Aim: Analyze whether there is a statistically significant difference between intra-arterial methylene blue injection and conventional dissection for the quantification of lymph nodes and determine if there is a variation in the quality of lymph node acquisition. Methods and results: Between 2015 and 2022, we conducted a retrospective analysis of colon cancer specimens. Data on the tumor's features, the number of lymph nodes, the number of lymph nodes that were positive, and other factors had been collected. The number of identified lymph nodes was highly significantly improved in the study group (P < 0.05). There is not a significant statistical difference between groups regarding the metastatic lymph node harvest. The group with injection of intra-arterial methylene blue shows a significantly decreased (P < 0.05) of the of cases with less than 12 lymph nodes recovered comparing with the control group. Conclusion: Colon cancer specimens can be easily evaluated concerning lymph nodes using the methylene blue method. Therefore, we strongly advise this approach as a standard procedure in the histological evaluation of colon cancer specimens in order to maximize the identification of lymph nodes. However, the detection of metastatic lymph nodes was unaffected significantly.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Colorectal Dis . 2024 Jun 13;39(1):90.pt_PT
dc.identifier.doi10.1007/s00384-024-04663-2pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/52070
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectColorectal Neoplasmspt_PT
dc.subjectAzul de Metilenopt_PT
dc.subjectColorectal Neoplasmspt_PT
dc.subjectMethylene Bluept_PT
dc.titleThe impact of methylene blue in colon cancer: a retrospective multicentric studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleInternational Journal of Colorectal Diseasept_PT
oaire.citation.volume39pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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