Prominent Lymphatic Channels Simulating Sentinel Nodes: The Use of Standing and Delayed Views in Delineating the True Number and Position of Nodes and the Implications for Further Morbidity Reduction
A 52-year-old woman with breast carcinoma underwent lymphoscintigraphy. Initial and supine views at 70 minutes showed 3 grouped foci of similar intensity in the left axilla that appeared to represent nodes. Standing views with multiple arm positions revealed prominent lymphatic channels of a unique...
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Veröffentlicht in: | Clinical nuclear medicine 2005-12, Vol.30 (12), p.794-796 |
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creator | Kim, Susanne Youssef, Irini Kim, Chun K Machac, Josef Krynyckyi, Borys R |
description | A 52-year-old woman with breast carcinoma underwent lymphoscintigraphy. Initial and supine views at 70 minutes showed 3 grouped foci of similar intensity in the left axilla that appeared to represent nodes. Standing views with multiple arm positions revealed prominent lymphatic channels of a unique geometry that on supine views simulated sentinel nodes in 2 of the 3 grouped foci. Views at 4 hours confirmed the findings on early standing views. These findings illustrate the use of early standing views in conveying to the surgeon the true number of sentinel nodes and their potential role for further morbidity reduction. |
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Initial and supine views at 70 minutes showed 3 grouped foci of similar intensity in the left axilla that appeared to represent nodes. Standing views with multiple arm positions revealed prominent lymphatic channels of a unique geometry that on supine views simulated sentinel nodes in 2 of the 3 grouped foci. Views at 4 hours confirmed the findings on early standing views. These findings illustrate the use of early standing views in conveying to the surgeon the true number of sentinel nodes and their potential role for further morbidity reduction.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/01.rlu.0000187496.54900.a2</identifier><identifier>PMID: 16319635</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - mortality ; Breast Neoplasms - pathology ; Carcinoma, Ductal - diagnostic imaging ; Carcinoma, Ductal - mortality ; Carcinoma, Ductal - pathology ; Carcinoma, Ductal - secondary ; Female ; Humans ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymphatic Metastasis ; Middle Aged ; Radionuclide Imaging ; Reproducibility of Results ; Risk Assessment - methods ; Sensitivity and Specificity ; Sentinel Lymph Node Biopsy - methods ; Severity of Illness Index ; Supine Position ; Time Factors</subject><ispartof>Clinical nuclear medicine, 2005-12, Vol.30 (12), p.794-796</ispartof><rights>2005 Lippincott Williams & Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3625-ad8b540447bba07cfe1381fbde0a2029b68ea788cde1aa6072c634d9e0886f8c3</citedby><cites>FETCH-LOGICAL-c3625-ad8b540447bba07cfe1381fbde0a2029b68ea788cde1aa6072c634d9e0886f8c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16319635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Susanne</creatorcontrib><creatorcontrib>Youssef, Irini</creatorcontrib><creatorcontrib>Kim, Chun K</creatorcontrib><creatorcontrib>Machac, Josef</creatorcontrib><creatorcontrib>Krynyckyi, Borys R</creatorcontrib><title>Prominent Lymphatic Channels Simulating Sentinel Nodes: The Use of Standing and Delayed Views in Delineating the True Number and Position of Nodes and the Implications for Further Morbidity Reduction</title><title>Clinical nuclear medicine</title><addtitle>Clin Nucl Med</addtitle><description>A 52-year-old woman with breast carcinoma underwent lymphoscintigraphy. Initial and supine views at 70 minutes showed 3 grouped foci of similar intensity in the left axilla that appeared to represent nodes. Standing views with multiple arm positions revealed prominent lymphatic channels of a unique geometry that on supine views simulated sentinel nodes in 2 of the 3 grouped foci. Views at 4 hours confirmed the findings on early standing views. These findings illustrate the use of early standing views in conveying to the surgeon the true number of sentinel nodes and their potential role for further morbidity reduction.</description><subject>Breast Neoplasms - diagnostic imaging</subject><subject>Breast Neoplasms - mortality</subject><subject>Breast Neoplasms - pathology</subject><subject>Carcinoma, Ductal - diagnostic imaging</subject><subject>Carcinoma, Ductal - mortality</subject><subject>Carcinoma, Ductal - pathology</subject><subject>Carcinoma, Ductal - secondary</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Nodes - diagnostic imaging</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Metastasis</subject><subject>Middle Aged</subject><subject>Radionuclide Imaging</subject><subject>Reproducibility of Results</subject><subject>Risk Assessment - methods</subject><subject>Sensitivity and Specificity</subject><subject>Sentinel Lymph Node Biopsy - methods</subject><subject>Severity of Illness Index</subject><subject>Supine Position</subject><subject>Time Factors</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc2O0zAUhSMEYsrAKyCLBbsE_ySOMztUGBipDCPaYWs5zg0xOHGxY1V9Ql4Lp600XvhKx98519LJsncEFwQ39QdMCm9jgdMhoi4bXlRlg3Gh6LNsRSrGc0xp8zxbYcZZ3tScXmWvQvidcE54-TK7IpyRhrNqlf178G40E0wz2hzH_aBmo9F6UNMENqCtGaNN0vQLbROSOIvuXQfhBu0GQI8BkOvRdlZTtzBpoE9g1RE69NPAISAzLULynUPmZNr5COg-ji34k-HBBTMbNy1Jp-yTupB3494arZbHgHrn0W30Sffom_Ot6cx8RD-gi3oBXmcvemUDvLnM6-zx9vNu_TXffP9yt_64yTXjtMpVJ9qqxGVZt63Cte6BMEH6tgOsKKZNywWoWgjdAVGK45pqzsquASwE74Vm19n7c-7eu78RwixHEzRYqyZwMUguRFmVjCbw5gxq70Lw0Mu9N6PyR0mwXGqUmMhUo3yqUZ5qlGoxv71sie0I3ZP10lsCyjNwcHYGH_7YeAAvB1B2Hk6RLP09pxhXJF04X6SK_Qc03638</recordid><startdate>200512</startdate><enddate>200512</enddate><creator>Kim, Susanne</creator><creator>Youssef, Irini</creator><creator>Kim, Chun K</creator><creator>Machac, Josef</creator><creator>Krynyckyi, Borys R</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200512</creationdate><title>Prominent Lymphatic Channels Simulating Sentinel Nodes: The Use of Standing and Delayed Views in Delineating the True Number and Position of Nodes and the Implications for Further Morbidity Reduction</title><author>Kim, Susanne ; Youssef, Irini ; Kim, Chun K ; Machac, Josef ; Krynyckyi, Borys R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3625-ad8b540447bba07cfe1381fbde0a2029b68ea788cde1aa6072c634d9e0886f8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Breast Neoplasms - diagnostic imaging</topic><topic>Breast Neoplasms - mortality</topic><topic>Breast Neoplasms - pathology</topic><topic>Carcinoma, Ductal - diagnostic imaging</topic><topic>Carcinoma, Ductal - mortality</topic><topic>Carcinoma, Ductal - pathology</topic><topic>Carcinoma, Ductal - secondary</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic Metastasis</topic><topic>Middle Aged</topic><topic>Radionuclide Imaging</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment - methods</topic><topic>Sensitivity and Specificity</topic><topic>Sentinel Lymph Node Biopsy - methods</topic><topic>Severity of Illness Index</topic><topic>Supine Position</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Susanne</creatorcontrib><creatorcontrib>Youssef, Irini</creatorcontrib><creatorcontrib>Kim, Chun K</creatorcontrib><creatorcontrib>Machac, Josef</creatorcontrib><creatorcontrib>Krynyckyi, Borys R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Susanne</au><au>Youssef, Irini</au><au>Kim, Chun K</au><au>Machac, Josef</au><au>Krynyckyi, Borys R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prominent Lymphatic Channels Simulating Sentinel Nodes: The Use of Standing and Delayed Views in Delineating the True Number and Position of Nodes and the Implications for Further Morbidity Reduction</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>2005-12</date><risdate>2005</risdate><volume>30</volume><issue>12</issue><spage>794</spage><epage>796</epage><pages>794-796</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>A 52-year-old woman with breast carcinoma underwent lymphoscintigraphy. Initial and supine views at 70 minutes showed 3 grouped foci of similar intensity in the left axilla that appeared to represent nodes. Standing views with multiple arm positions revealed prominent lymphatic channels of a unique geometry that on supine views simulated sentinel nodes in 2 of the 3 grouped foci. Views at 4 hours confirmed the findings on early standing views. These findings illustrate the use of early standing views in conveying to the surgeon the true number of sentinel nodes and their potential role for further morbidity reduction.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>16319635</pmid><doi>10.1097/01.rlu.0000187496.54900.a2</doi><tpages>3</tpages></addata></record> |
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subjects | Breast Neoplasms - diagnostic imaging Breast Neoplasms - mortality Breast Neoplasms - pathology Carcinoma, Ductal - diagnostic imaging Carcinoma, Ductal - mortality Carcinoma, Ductal - pathology Carcinoma, Ductal - secondary Female Humans Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphatic Metastasis Middle Aged Radionuclide Imaging Reproducibility of Results Risk Assessment - methods Sensitivity and Specificity Sentinel Lymph Node Biopsy - methods Severity of Illness Index Supine Position Time Factors |
title | Prominent Lymphatic Channels Simulating Sentinel Nodes: The Use of Standing and Delayed Views in Delineating the True Number and Position of Nodes and the Implications for Further Morbidity Reduction |
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