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Lymphatic mapping and sentinel node biopsy in women with an ipsilateral second breast carcinoma and a history of breast and axillary surgery

Dinan, David ; Nagle, Conrad E. ; Pettinga, Jane

The American journal of surgery, 2005-10, Vol.190 (4), p.614-617 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Lymphatic mapping and sentinel node biopsy in women with an ipsilateral second breast carcinoma and a history of breast and axillary surgery
Autor: Dinan, David ; Nagle, Conrad E. ; Pettinga, Jane
Assuntos: Aged ; Aged, 80 and over ; Axilla - pathology ; Axilla - surgery ; Biological and medical sciences ; Biopsy ; Breast cancer ; Breast Neoplasms - diagnostic imaging ; Breast Neoplasms - pathology ; Breast Neoplasms - surgery ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Lymphatic mapping ; Lymphatic system ; Mammary gland diseases ; Mastectomy ; Medical sciences ; Middle Aged ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Neoplasms, Second Primary - pathology ; Previous axillary lymphadenectomy ; Previous lumpectomy ; Radionuclide Imaging - methods ; Recurrent breast carcinoma ; Reoperative lymphoscintigraphy ; Retrospective Studies ; Second primary breast carcinoma ; Sentinel Lymph Node Biopsy ; Studies ; Tumors ; Womens history
É parte de: The American journal of surgery, 2005-10, Vol.190 (4), p.614-617
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Women with a history of breast and axillary surgery may demonstrate aberrant lymphatic drainage caused by disrupted lymphatic channels. Lymphoscintigraphy may be valuable in evaluation and staging of an ipsilateral second breast carcinoma. We conducted a retrospective review of 16 women treated for a second ipsilateral breast carcinoma who underwent breast lymphoscintigraphy and intraoperative lymphatic mapping. Drainage patterns were compared with pathologic and operative findings. Lymphoscintigraphy succeeded in 69% of patients and demonstrated widely varied drainage patterns including ipsilateral axillary and supraclavicular as well as contralateral axillary and supraclavicular basins. No trend between successful lymphatic mapping and multiple clinical and pathologic measures was seen. In women with a second ipsilateral breast carcinoma and history of previous breast and axillary surgery, lymphoscintigraphy is feasible. Drainage patterns vary widely including across the midline of the thorax. Preoperative lymphoscintigraphy may be useful to ensure inclusion of potential sentinel nodes within the operative field.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Lymphatic mapping and sentinel node biopsy in women with an ipsilateral second breast carcinoma and a history of breast and axillary surgery

Dinan, David ; Nagle, Conrad E. ; Pettinga, Jane

New York, NY: Elsevier Inc

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