A novel method for sentinel lymph node biopsy by indocyanine green fluorescence technique in breast cancer

We investigated the feasibility of sentinel lymph node (SLN) biopsy using indocyanine green (ICG) technique in 411 patients with early breast cancer at three institutes. ICG, a fluorescence source, and blue dye were injected into the subareolar area to enable real-time image-guided surgery and ident...

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Veröffentlicht in:Cancers 2010-04, Vol.2 (2), p.713-720
Hauptverfasser: Sugie, Tomoharu, Kassim, Kassim Abdelazeem, Takeuchi, Megumi, Hashimoto, Takashi, Yamagami, Kazuhiko, Masai, Yoshikazu, Toi, Masakazu
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container_end_page 720
container_issue 2
container_start_page 713
container_title Cancers
container_volume 2
creator Sugie, Tomoharu
Kassim, Kassim Abdelazeem
Takeuchi, Megumi
Hashimoto, Takashi
Yamagami, Kazuhiko
Masai, Yoshikazu
Toi, Masakazu
description We investigated the feasibility of sentinel lymph node (SLN) biopsy using indocyanine green (ICG) technique in 411 patients with early breast cancer at three institutes. ICG, a fluorescence source, and blue dye were injected into the subareolar area to enable real-time image-guided surgery and identification of SLN fluorescence after meticulous dissection. The subcutaneous lymphatic channels were precisely detected in all cases. SLN identification rate was 99% (408/411) with a mean of 2.3 nodes identified per patient. Thirty-nine cases (9.5%) had SLNs involved and all of them were ICG positive. Thus, the ICG technique has a high SLN identification rate comparable with that of the radioisotope method.
doi_str_mv 10.3390/cancers2020713
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subjects Biopsy
Breast cancer
Electronic mail systems
Identification
Lymphatic system
Metastasis
Patients
Radioisotopes
Surgery
title A novel method for sentinel lymph node biopsy by indocyanine green fluorescence technique in breast cancer
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