Lymphoscintigraphy in sentinel lymph node biopsy of breast cancer.
- Author:
Jie ZHANG
1
;
Kunwei SHEN
;
Lamichhane NIRMAL
;
Guangyu LIU
;
Jiong WU
;
Yingjian ZHANG
;
Huifeng DU
;
Zhangchi PAN
;
Zhimin SHAO
;
Zhenzhou SHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Axilla; Breast Neoplasms; diagnosis; pathology; Female; Humans; Lymph Nodes; Lymphatic Metastasis; diagnosis; Middle Aged; Sentinel Lymph Node Biopsy
- From: Chinese Journal of Oncology 2002;24(6):616-618
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the feasibility of lymphoscintigraphy in sentinel lymph node biopsy of breast cancer.
METHODLymphoscintigraphy was performed after peritumoral or subdermal injection of radioactive colloid. Then, sentinel lymph node (SLN) biopsy guided by gamma detector probe was performed. Factors correlated with identification-detection rate were assessed.
RESULTSLymphatic drainage was present in preoperative lymphoscintigraphy in 88(93%) out of 95 patients, with 39 (44.3%) positive for lymphatic drainage other than in the axilla. A total of 91 (95.8%) patients had their SLN identified in the intraoperative procedure. The quality of lymphoscintigraphic image was closely related to SLN identification-detection rate in the intraoperative procedure (P = 0.025).
CONCLUSIONSentinel lymph node outside the axilla can be detected by lymphoscintigraphy. The combination of lymphoscintigraphy and gamma detector probe for sentinel lymph node biopsy of breast cancer not only is acceptable but promising.
