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
Hauptverfasser: Kim, Susanne, Youssef, Irini, Kim, Chun K, Machac, Josef, Krynyckyi, Borys R
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container_end_page 796
container_issue 12
container_start_page 794
container_title Clinical nuclear medicine
container_volume 30
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.
doi_str_mv 10.1097/01.rlu.0000187496.54900.a2
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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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