Unique ID issued by UMIN | UMIN000035972 |
---|---|
Receipt number | R000037409 |
Scientific Title | Subtotal integumentectomy for treatment of malignant melanoma with indocyanine green(ICG) |
Date of disclosure of the study information | 2019/02/22 |
Last modified on | 2019/02/21 18:27:51 |
Subtotal integumentectomy for treatment of malignant melanoma with indocyanine green(ICG)
Subtotal integumentectomy for treatment of malignant melanoma
Subtotal integumentectomy for treatment of malignant melanoma with indocyanine green(ICG)
Subtotal integumentectomy for treatment of malignant melanoma
Japan |
malignant melanoma
Dermatology | Adult |
Malignancy
NO
In malignant melanoma, in-transit metastasis occur at a frequency of 5 to 10% after the excision of the primary tumor and the regional lymph node dissection. In-transit metastasis is thought to be the cause of proliferation of tumor cells remaining in lymphatic vessels between the primary tumor and the regional lymph nodes. Previously, to prevent in-transit metastasis, subtotal integumentectomy has been performed. Conventionally, it was difficult to noninvasively identify lymphatic vessels, but indocyanine green (ICG) lymphangiography, which was recently developed, visualizes the lymphatic vessels in real time. The purpose of this study is to indicate the effectiveness and safety of subtotal integumentectomy with indocyanine green (ICG) lymphangiography for the treatment of malignant melanoma.
Efficacy
Confirmatory
Explanatory
Phase I,II
Relapse-free survival
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Maneuver |
We will perform surgery under general anesthesia. We inject Indocyanine Green (ICG) into the primary tumor of the limbs. We use lymphography to confirm sentinel lymph nodes and lymph flow. We conduct sentinel lymph node biopsy. When we confirmed sentinel lymph node metastasis by intraoperative rapid pathologic diagnosis, we perform regional lymph node dissection, excision of lymphatic duct, and resection of primary tumor. All wounds should be wrapped as appropriate so as not to be impossible.
20 | years-old | <= |
80 | years-old | > |
Male and Female
The subject has malignant melanoma of the thigh or brachial primary, and has regional lymph node metastasis.
The subject must be over 20 years old at the acquisition date.
The subject can be determined to participate in the study at their own will.
Subjects have a history of severe hypersensitivity and side effects in Indocyanine green (ICG).
Subjects suffer from malignant tumors within 5 years.
Subjects suffer from acute myocardial infarction, unstable angina, myocarditis, cerebral infarction within 3 months.
Subjects have remarkably unstable circulation dynamics due to severe heart failure, arrhythmia, etc.
Subject has active infection.
Subjects may be pregnant or pregnant
Subject's serum albumin is less than 2g/dl.
We can not identify lymph flow with ICG during surgery.
In addition, when the doctor in charge judges the subject as inappropriate.
10
1st name | |
Middle name | |
Last name | Hironobu Ihn |
Faculty of Life Sciences, Kumamoto University
Department of Dermatology and Plastic Surgery
1-1-1 Honjo, Kumamoto 860-8556, Japan
0963735233
ihn-der@kumamoto-u.ac.jp
1st name | |
Middle name | |
Last name | Jun Aoi |
Faculty of Life Sciences, Kumamoto University
Department of Dermatology and Plastic Surgery
1-1-1 Honjo, Kumamoto 860-8556, Japan
0963735233
junjunaoi@gmail.com
Faculty of Life Sciences, Kumamoto University
Kumamoto University Hospital
Other
NO
2019 | Year | 02 | Month | 22 | Day |
Unpublished
Open public recruiting
2019 | Year | 02 | Month | 21 | Day |
2019 | Year | 02 | Month | 21 | Day |
2019 | Year | 02 | Month | 21 | Day |
2019 | Year | 02 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000037409