Correlation of lymphoscintigraphy with the number of sentinel lymph nodes identified intraoperatively in patients with breast cancer

Numerous studies have evaluated the benefit of performing lymphoscintigraphy for the sentinel lymph node procedure in breast cancer patients. The purpose of this study is to determine if lymphoscintigraphy accurately predicts the number of radioactive sentinel lymph nodes (SLNs) identified during su...

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Veröffentlicht in:The American journal of surgery 2005-10, Vol.190 (4), p.567-569
Hauptverfasser: Teal, Christine B., Slocum, Jennifer P., Akin, Esma A., Kelly, Tricia A.
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Slocum, Jennifer P.
Akin, Esma A.
Kelly, Tricia A.
description Numerous studies have evaluated the benefit of performing lymphoscintigraphy for the sentinel lymph node procedure in breast cancer patients. The purpose of this study is to determine if lymphoscintigraphy accurately predicts the number of radioactive sentinel lymph nodes (SLNs) identified during surgery for breast cancer patients. From October 2001 to June 2004, SLN biopsy was attempted in 112 patients with breast cancer using a combination of blue dye and radioisotope. Lymphoscintigraphy was performed in 98 of the patients. A lymph node was considered an SLN when it was stained with blue dye, had a blue lymphatic afferent, had increased radioactivity, or was abnormal by palpation. Lymphoscintigraphy accurately predicted the number of radioactive SLN identified intraoperatively in 47 patients. In 44 of the patients who did not have concordance, there were more SLN identified intraoperatively than were seen on lymphoscintigraphy. In the other 8 patients, there were fewer SLN identified intraoperatively than seen on lymphoscintigraphy. Lymphoscintigraphy accurately predicted the number of SLN identified intraoperatively in only 47% of the patients in this study. In a majority of the patients in whom the lymphoscintigraphy was not concordant, the number of SLN identified intraoperatively was underestimated. Thus, although lymphoscintigraphy is beneficial in showing that at least 1 radioactive SLN will be identified intraoperatively, it does not accurately predict the number.
doi_str_mv 10.1016/j.amjsurg.2005.06.012
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Obstetrics ; Humans ; Intraoperative Period ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymphatic system ; Lymphoscintigraphy ; Mammary gland diseases ; Medical sciences ; Predictive Value of Tests ; Radioisotope ; Radionuclide Imaging ; Radiopharmaceuticals ; Sentinel lymph node ; Sentinel Lymph Node Biopsy ; Studies ; Surgery ; Tumors</subject><ispartof>The American journal of surgery, 2005-10, Vol.190 (4), p.567-569</ispartof><rights>2005 Excerpta Medica Inc.</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Elsevier Limited Oct 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-bfd1bc1eb790cf8aae568dd559f14a7f928f48a6ee5b7645fb70c19d69c4bd7a3</citedby><cites>FETCH-LOGICAL-c449t-bfd1bc1eb790cf8aae568dd559f14a7f928f48a6ee5b7645fb70c19d69c4bd7a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961005005465$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17196567$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16164921$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teal, Christine B.</creatorcontrib><creatorcontrib>Slocum, Jennifer P.</creatorcontrib><creatorcontrib>Akin, Esma A.</creatorcontrib><creatorcontrib>Kelly, Tricia A.</creatorcontrib><title>Correlation of lymphoscintigraphy with the number of sentinel lymph nodes identified intraoperatively in patients with breast cancer</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Numerous studies have evaluated the benefit of performing lymphoscintigraphy for the sentinel lymph node procedure in breast cancer patients. The purpose of this study is to determine if lymphoscintigraphy accurately predicts the number of radioactive sentinel lymph nodes (SLNs) identified during surgery for breast cancer patients. From October 2001 to June 2004, SLN biopsy was attempted in 112 patients with breast cancer using a combination of blue dye and radioisotope. Lymphoscintigraphy was performed in 98 of the patients. A lymph node was considered an SLN when it was stained with blue dye, had a blue lymphatic afferent, had increased radioactivity, or was abnormal by palpation. Lymphoscintigraphy accurately predicted the number of radioactive SLN identified intraoperatively in 47 patients. In 44 of the patients who did not have concordance, there were more SLN identified intraoperatively than were seen on lymphoscintigraphy. In the other 8 patients, there were fewer SLN identified intraoperatively than seen on lymphoscintigraphy. 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Lymphoscintigraphy accurately predicted the number of SLN identified intraoperatively in only 47% of the patients in this study. In a majority of the patients in whom the lymphoscintigraphy was not concordant, the number of SLN identified intraoperatively was underestimated. Thus, although lymphoscintigraphy is beneficial in showing that at least 1 radioactive SLN will be identified intraoperatively, it does not accurately predict the number.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16164921</pmid><doi>10.1016/j.amjsurg.2005.06.012</doi><tpages>3</tpages></addata></record>
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subjects Axilla
Biological and medical sciences
Biopsy
Blue dye
Breast cancer
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Cellular biology
Coloring Agents
Female
General aspects
Gynecology. Andrology. Obstetrics
Humans
Intraoperative Period
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymphatic system
Lymphoscintigraphy
Mammary gland diseases
Medical sciences
Predictive Value of Tests
Radioisotope
Radionuclide Imaging
Radiopharmaceuticals
Sentinel lymph node
Sentinel Lymph Node Biopsy
Studies
Surgery
Tumors
title Correlation of lymphoscintigraphy with the number of sentinel lymph nodes identified intraoperatively in patients with breast cancer
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