The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer
BACKGROUND: The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique. STUDY DESIGN: Lymp...
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| Veröffentlicht in: | Journal of the American College of Surgeons 2001, Vol.192 (1), p.9-16 |
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| container_title | Journal of the American College of Surgeons |
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| creator | Bass, Siddharth S Cox, Charles E Salud, Christopher J Lyman, Gary H McCann, Christa Dupont, Elizabeth Berman, Claudia Reintgen, Douglas S |
| description | BACKGROUND:
The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique.
STUDY DESIGN:
Lymphatic mapping at the H Lee Moffitt Cancer Center is performed using a combination of isosulfan blue dye and Tc
99m labeled sulfur colloid. Data describing the rate of SLN identification and the node characteristics from 594 consecutive patients were calculated. Patients who received a 5-minute massage after injection of blue dye and radiocolloid were compared with a control group in which the patients did not receive a postinjection massage.
RESULTS:
When compared with controls, the proportion of patients who had their SLN identified using blue dye after massage increased from 73.0% to 88.3%, and the proportion of patients who had their SLN identified using radiocolloid after massage increased from 81.7% to 91.3%. The overall rate of SLN identification increased from 93.5% to 97.8%. The proportion of nodes that were stained blue among those removed increased from 73.4% to 79.7% after massage.
CONCLUSIONS:
As experience increases with this new procedure, the surgical technique of lymphatic mapping continues to evolve. The addition of a postinjection massage significantly improves the uptake of blue dye by SLNs and may also aid in the accumulation of radioactivity in the SLNs, further increasing the sensitivity of this procedure. |
| doi_str_mv | 10.1016/S1072-7515(00)00771-7 |
| format | Article |
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The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique.
STUDY DESIGN:
Lymphatic mapping at the H Lee Moffitt Cancer Center is performed using a combination of isosulfan blue dye and Tc
99m labeled sulfur colloid. Data describing the rate of SLN identification and the node characteristics from 594 consecutive patients were calculated. Patients who received a 5-minute massage after injection of blue dye and radiocolloid were compared with a control group in which the patients did not receive a postinjection massage.
RESULTS:
When compared with controls, the proportion of patients who had their SLN identified using blue dye after massage increased from 73.0% to 88.3%, and the proportion of patients who had their SLN identified using radiocolloid after massage increased from 81.7% to 91.3%. The overall rate of SLN identification increased from 93.5% to 97.8%. The proportion of nodes that were stained blue among those removed increased from 73.4% to 79.7% after massage.
CONCLUSIONS:
As experience increases with this new procedure, the surgical technique of lymphatic mapping continues to evolve. The addition of a postinjection massage significantly improves the uptake of blue dye by SLNs and may also aid in the accumulation of radioactivity in the SLNs, further increasing the sensitivity of this procedure.</description><identifier>ISSN: 1072-7515</identifier><identifier>EISSN: 1879-1190</identifier><identifier>DOI: 10.1016/S1072-7515(00)00771-7</identifier><identifier>PMID: 11192930</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Breast Neoplasms - pathology ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Mammary gland diseases ; Massage ; Medical sciences ; Neoplasm Staging - methods ; Radiopharmaceuticals ; Rosaniline Dyes ; Sensitivity and Specificity ; Sentinel Lymph Node Biopsy - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the genital tract and mammary gland ; Technetium Tc 99m Sulfur Colloid ; Tumors</subject><ispartof>Journal of the American College of Surgeons, 2001, Vol.192 (1), p.9-16</ispartof><rights>2001 American College of Surgeons</rights><rights>2001 INIST-CNRS</rights><rights>Copyright American College of Surgeons Jan 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c482t-730e3c4f46f3c10d673f0494c0e92492250c6e0c208c5bdc93636581fb29c30d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1072751500007717$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306,69986</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=855043$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11192930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bass, Siddharth S</creatorcontrib><creatorcontrib>Cox, Charles E</creatorcontrib><creatorcontrib>Salud, Christopher J</creatorcontrib><creatorcontrib>Lyman, Gary H</creatorcontrib><creatorcontrib>McCann, Christa</creatorcontrib><creatorcontrib>Dupont, Elizabeth</creatorcontrib><creatorcontrib>Berman, Claudia</creatorcontrib><creatorcontrib>Reintgen, Douglas S</creatorcontrib><title>The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer</title><title>Journal of the American College of Surgeons</title><addtitle>J Am Coll Surg</addtitle><description>BACKGROUND:
The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique.
STUDY DESIGN:
Lymphatic mapping at the H Lee Moffitt Cancer Center is performed using a combination of isosulfan blue dye and Tc
99m labeled sulfur colloid. Data describing the rate of SLN identification and the node characteristics from 594 consecutive patients were calculated. Patients who received a 5-minute massage after injection of blue dye and radiocolloid were compared with a control group in which the patients did not receive a postinjection massage.
RESULTS:
When compared with controls, the proportion of patients who had their SLN identified using blue dye after massage increased from 73.0% to 88.3%, and the proportion of patients who had their SLN identified using radiocolloid after massage increased from 81.7% to 91.3%. The overall rate of SLN identification increased from 93.5% to 97.8%. The proportion of nodes that were stained blue among those removed increased from 73.4% to 79.7% after massage.
CONCLUSIONS:
As experience increases with this new procedure, the surgical technique of lymphatic mapping continues to evolve. The addition of a postinjection massage significantly improves the uptake of blue dye by SLNs and may also aid in the accumulation of radioactivity in the SLNs, further increasing the sensitivity of this procedure.</description><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - pathology</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Mammary gland diseases</subject><subject>Massage</subject><subject>Medical sciences</subject><subject>Neoplasm Staging - methods</subject><subject>Radiopharmaceuticals</subject><subject>Rosaniline Dyes</subject><subject>Sensitivity and Specificity</subject><subject>Sentinel Lymph Node Biopsy - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the genital tract and mammary gland</subject><subject>Technetium Tc 99m Sulfur Colloid</subject><subject>Tumors</subject><issn>1072-7515</issn><issn>1879-1190</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0VtrFDEUwPEgir3oR1AGhaIPoyfJZDJ5klK8FAo-WB8lZDMnbZa5mWQL--17trsq-NKnJPDLhX8Ye8XhAwfefvzBQYtaK67eAbwH0JrX-gk75p02NecGntL8DzliJzmvAbgG0z5nR5yAMBKO2a_rW6wwBPQlV3OoljmXOK1pGeepGl3O7gYrmhZyGaccS7yLZbuzw3Zcbl2JntyyxOmmilO1SuhyqbybPKYX7FlwQ8aXh_GU_fzy-friW331_evlxflV7ZtOlFpLQOmb0LRBeg59q2WAxjQe0IjGCKHAtwheQOfVqvdGtrJVHQ8rYbyEXp6ys_25S5p_bzAXO8bscRjchPMmWw1KgxRA8M1_cD1v0kRvs4KidHSzIqT2yKc554TBLimOLm0tB7uLbx_i211ZC2Af4ltN-14fDt-sRuz_7TrUJvD2AFz2bgiJIsX813VKQSNJfdorpGJ3EZPNPiLl7GOif7H9HB95yD3w4J9d</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Bass, Siddharth S</creator><creator>Cox, Charles E</creator><creator>Salud, Christopher J</creator><creator>Lyman, Gary H</creator><creator>McCann, Christa</creator><creator>Dupont, Elizabeth</creator><creator>Berman, Claudia</creator><creator>Reintgen, Douglas S</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>American College of Surgeons</general><scope>IQODW</scope><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>2001</creationdate><title>The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer</title><author>Bass, Siddharth S ; Cox, Charles E ; Salud, Christopher J ; Lyman, Gary H ; McCann, Christa ; Dupont, Elizabeth ; Berman, Claudia ; Reintgen, Douglas S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-730e3c4f46f3c10d673f0494c0e92492250c6e0c208c5bdc93636581fb29c30d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Breast Neoplasms - pathology</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Mammary gland diseases</topic><topic>Massage</topic><topic>Medical sciences</topic><topic>Neoplasm Staging - methods</topic><topic>Radiopharmaceuticals</topic><topic>Rosaniline Dyes</topic><topic>Sensitivity and Specificity</topic><topic>Sentinel Lymph Node Biopsy - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the genital tract and mammary gland</topic><topic>Technetium Tc 99m Sulfur Colloid</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bass, Siddharth S</creatorcontrib><creatorcontrib>Cox, Charles E</creatorcontrib><creatorcontrib>Salud, Christopher J</creatorcontrib><creatorcontrib>Lyman, Gary H</creatorcontrib><creatorcontrib>McCann, Christa</creatorcontrib><creatorcontrib>Dupont, Elizabeth</creatorcontrib><creatorcontrib>Berman, Claudia</creatorcontrib><creatorcontrib>Reintgen, Douglas S</creatorcontrib><collection>Pascal-Francis</collection><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>Journal of the American College of Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bass, Siddharth S</au><au>Cox, Charles E</au><au>Salud, Christopher J</au><au>Lyman, Gary H</au><au>McCann, Christa</au><au>Dupont, Elizabeth</au><au>Berman, Claudia</au><au>Reintgen, Douglas S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer</atitle><jtitle>Journal of the American College of Surgeons</jtitle><addtitle>J Am Coll Surg</addtitle><date>2001</date><risdate>2001</risdate><volume>192</volume><issue>1</issue><spage>9</spage><epage>16</epage><pages>9-16</pages><issn>1072-7515</issn><eissn>1879-1190</eissn><abstract>BACKGROUND:
The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique.
STUDY DESIGN:
Lymphatic mapping at the H Lee Moffitt Cancer Center is performed using a combination of isosulfan blue dye and Tc
99m labeled sulfur colloid. Data describing the rate of SLN identification and the node characteristics from 594 consecutive patients were calculated. Patients who received a 5-minute massage after injection of blue dye and radiocolloid were compared with a control group in which the patients did not receive a postinjection massage.
RESULTS:
When compared with controls, the proportion of patients who had their SLN identified using blue dye after massage increased from 73.0% to 88.3%, and the proportion of patients who had their SLN identified using radiocolloid after massage increased from 81.7% to 91.3%. The overall rate of SLN identification increased from 93.5% to 97.8%. The proportion of nodes that were stained blue among those removed increased from 73.4% to 79.7% after massage.
CONCLUSIONS:
As experience increases with this new procedure, the surgical technique of lymphatic mapping continues to evolve. The addition of a postinjection massage significantly improves the uptake of blue dye by SLNs and may also aid in the accumulation of radioactivity in the SLNs, further increasing the sensitivity of this procedure.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11192930</pmid><doi>10.1016/S1072-7515(00)00771-7</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Breast Neoplasms - pathology Female Gynecology. Andrology. Obstetrics Humans Mammary gland diseases Massage Medical sciences Neoplasm Staging - methods Radiopharmaceuticals Rosaniline Dyes Sensitivity and Specificity Sentinel Lymph Node Biopsy - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Technetium Tc 99m Sulfur Colloid Tumors |
| title | The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer |
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