lymphatic drainage of the skin and breast

LOCATING THE SENTINEL NODES

Roger F. Uren, John F. Thompson and Robert B. Howman-Giles

Harwood Academic Publishers

Presenting many previously unknown patterns of lymph drainage and based on more than 1600 studies in melanoma patients, this book is a timely addition to the topic of lymphatic mapping and sentinel node biopsy which is of such considerable interest in surgical oncology.  The authors' vast experience and their insights in applying this technique to patients with melanoma will be invaluable to any surgical oncology team contemplating introducing this approach in the management of their patients.  A section on lymphatic drainage patterns of the breast is also included, based on 90 studies of breast cancer patients.  The new lymphatic drainage pathways described will also be of interest to all other surgeons and anatomists.


Professor Roger F. Uren with our GammaProbe SRP MKII

About the authors

Roger F. Uren has had a number of international appointments including the Peter Bent Brigham Hospital, Harvard Medical School, and the Beth Israel Hospital, Boston, the American Hospital of Paris, and the Royal Prince Alfred Hospital, Sydney.  In 1994, in partnership with Robert Howman-Giles, he opened his own department of nuclear medicine in the Missenden Medical Centre, Sydney, and it is from this practice that he pursued his interest in lymphatic mapping for the last 14 years.  Dr Uren has authored or co-authored more than 90 peer reviewed papers in nuclear medicine, and is now considered a world authority on the lymphatic mapping of the skin using radiocolloids.  He was recently appointed Clinical Associate Professor at the University of Sydney.

John F. Thompson has had a research and clinical interest in surgical oncology for many years and has published extensively on isolated limb infusion and perfusion techniques for which he was recently awarded a Doctorate in Medicine from the University of Sydney.  During the past 25 years, he has been the author or co-author of more than 190 scientific articles in peer reviewed journals.  Investigation of the optimal method for sentinel node biopsy in patients with melanoma has been the focus of his attention for some years and he is on the coordinating committee of a major international trial currently evaluating this procedure.  Dr Thompson is Academic Associate Professor in Surgery at the University of Sydney and Director of the Sydney Melanoma Unit at the Royal Prince Alfred Hospital.

Robert B. Howman-Giles established the first Department of Nuclear Medicine at the Royal Alexandra Hospital for Children, Sydney, where he has been Head since 1980.  He has published widely in nuclear medicine and paediatric nuclear medicine with more than 90 articles and several book chapters.  He has a special interest in oncology and renal applications of nuclear medicine and in 1996 he received a Doctorate in Medicine from the University of Sydney for his work in paediatric nuclear medicine.  In partnership with Roger Uren, he has been closely involved in the development and application of lymphatic mapping for 14 years.

The field of oncology owes a debt of gratitude to Drs Uren, Howman-Giles, and Thompson for this important monograph, which will be a welcome addition to the library of every surgeon or nuclear medicine physician who cares for patients with melanoma or breast cancer.  I predict that this will be the first of many editions updating this important and rapidly evolving field.

DONALD MORTON, MD
John Wayne Cancer Institute, Santa Monica, California

 

This book will change traditional thinking about lymph flow patterns...
The book will become a standard reference work in this field.

PROFESSOR WILLIAM MCCARTHY,
Director, Sydney Melanoma Unit, Australia

 

... current, comprehensive and detailed and should fill an important niche and gap in general knowledge of the true nature of lymphatic drainage of the skin and the degree of individual variability.

DR GUNES EGE
Professor, Faculty of Medicine, University of Toronto, Canada

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