Lymphatic mapping and sentinel node biopsy in women with an ipsilateral second breast carcinoma and a history of breast and axillary surgery
| Autor: | Conrad E. Nagle, David Dinan, Jane Pettinga |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Sentinel lymph node Breast Neoplasms Carcinoma Humans Medicine Radionuclide Imaging Lymph node Mastectomy Aged Neoplasm Staging Retrospective Studies Recurrent Breast Carcinoma Aged 80 and over Sentinel Lymph Node Biopsy business.industry Neoplasms Second Primary General Medicine Middle Aged Sentinel node medicine.disease Surgery medicine.anatomical_structure Axilla Female Lymphadenectomy Neoplasm Recurrence Local business Breast carcinoma |
| Zdroj: | The American Journal of Surgery. 190:614-617 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2005.06.025 |
| Popis: | Background Women with a history of breast and axillary surgery may demonstrate aberrant lymphatic drainage caused by disrupted lymphatic channels. Lymphoscintigraphy may be valuable in evaluation and staging of an ipsilateral second breast carcinoma. Methods We conducted a retrospective review of 16 women treated for a second ipsilateral breast carcinoma who underwent breast lymphoscintigraphy and intraoperative lymphatic mapping. Drainage patterns were compared with pathologic and operative findings. Results Lymphoscintigraphy succeeded in 69% of patients and demonstrated widely varied drainage patterns including ipsilateral axillary and supraclavicular as well as contralateral axillary and supraclavicular basins. No trend between successful lymphatic mapping and multiple clinical and pathologic measures was seen. Conclusions In women with a second ipsilateral breast carcinoma and history of previous breast and axillary surgery, lymphoscintigraphy is feasible. Drainage patterns vary widely including across the midline of the thorax. Preoperative lymphoscintigraphy may be useful to ensure inclusion of potential sentinel nodes within the operative field. |
| Databáze: | OpenAIRE |
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