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Carbon Black Tattoo in Colon Cancer

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状态招聘中
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Szeged University

关键词

抽象

The study is designed to elucidate whether carbon black suspension endoscopic tattoo enhances visibility of lymph nodes or tumor tissue on dissection of colonic surgical specimen, thereby making improvement in staging defined as better pTNM stage via better visualisation of carbon marked metastatic or sentinel lymph nodes or marked primary tumor or adjacent tissues.

描述

Other objectives are:

- to assess intraoperative visibility of carbon black tattoo in the tumor region and surrounding tissues

- to assess microscopic distribution of carbon ink in the layers of the colonic wall and adjacent tissues

- to assess complications related to carbon black tattoo procedure like microscopic fibrosis, micro- or macroscopic scarring, inflammatory reactions

- to assess long-term effects of ink injections on control endoscopies at 6 and 12 months

- to assess dissection time in tattooed-non tattooed lymphatic tissues

日期

最后验证: 01/31/2019
首次提交: 10/07/2018
提交的预估入学人数: 10/11/2018
首次发布: 10/14/2018
上次提交的更新: 03/08/2019
最近更新发布: 03/11/2019
实际学习开始日期: 02/05/2019
预计主要完成日期: 02/05/2020
预计完成日期: 02/05/2020

状况或疾病

Endoscopic Tattoo of Suspected Colon Cancer

干预/治疗

Device: Tattoo arm

-

手臂组

干预/治疗
Active Comparator: Tattoo arm
Tattoo will be placed by endoscopic submucosal injection of carbon black suspension
Device: Tattoo arm
Examine the SPOT syringe to verify that the pigment is fully suspended. A 23 or 25 G sclerotherapy needle is recommended for this procedure, attach the syringe and prime with SPOT. After injection catheter is primed, manoeuver with the endoscope for optimal injection position and inject tangentially, at a 30-40˚ angle to the mucosa and create a saline bleb to find the submucosal plane prior to injecting SPOT to reduce risk of intramural injection. Document both the depth of scope and anatomic location of each tattoo and the ink consumption as well. Place injection 2-3 cm distal (downstream) of the area of interest. Use 0.5-0.75 mL per injection site and no more than 8 mL per patient. Place SPOT tattoos in 3-4 quadrants around the lumen to increase likelihood of visualisation.
No Intervention: Control arm
Tattoo will not be placed but case will follow standard procedure

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Male or female aged 18 years or above undergoing colonoscopy for suspected colonic malignancy

- Participant is able to give informed consent for participation in the study

- Patient is presumably selected for surgery within 30 days following tattoo injection

Exclusion Criteria:

- Patients under the age of 18

- Patients unable to give informed consent or ineligible for surgery

- Tumor in the coecum dome or in the rectum (<15 cm)

- Known allergy to suspension ingredients

结果

主要结果指标

1. Number of tumors visualised from peritoneal cavity/number of tattoos visualised form peritoneal cavity [1 year]

Distance in cm from tumor wich far carbon injection marked mucosa and adjacent tissues Number of inflammatory cells per field of view in injection site vs. non-injected mucosa Number of dissected total/normal/metastatic/carbon colored lymph nodes

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