Sentinel lymph node detection with large human serum albumin colloid particles in breast cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-04-04

AUTHORS

S. Mirzaei, M. Rodrigues, B. Hoffmann, P. Knoll, M. Riegler-Keil, W. Kreuzer, H. Salzer, H. Köhn, A. Polyák, G. A. Jánoki

ABSTRACT

Detection of metastatic involvement of lymph nodes is essential for management and prognostic evaluation in breast cancer patients. The success of lymphatic mapping depends on identifying the sentinel lymph node(s) draining the primary tumour. However, when mapping is performed with a radiocolloidal agent, the number of hot lymph nodes varies with the agent and its size, among other factors. In this study, we evaluated prospectively the detection rate of sentinel lymph nodes in breast cancer when injecting large particles (100–600 nm) of human serum albumin colloids (Senti-Scint). In 128 consecutive breast cancer patients without palpable lymph nodes, pre-operative static lymphoscintigraphic mapping of the breast was performed after subcutaneous injection of 15 MBq of the radiocolloid. Lymphoscintigrahic results were compared with intra-operative surgical gamma detection probe and blue dye mapping data. Pre-operative lymphoscintigraphy and surgical gamma detection probe both correctly detected 203 sentinel lymph nodes in 122/128 patients (95%), while blue dye mapping showed only 183 sentinel lymph nodes in 82% of the patients. Only one or two sentinel lymph nodes were identified in each patient, which allowed the surgeon easily to find the sentinel lymph node(s) intra-operatively. In conclusion, lymphoscintigraphy with large particles of human serum albumin colloids is a helpful and reliable procedure for the surgical management of breast cancer. More... »

PAGES

874-878

References to SciGraph publications

  • 2002-01-29. The hidden sentinel node in breast cancer in EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
  • 1999-03. Radiopharmaceuticals in sentinel lymph-node detection – an overview in EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
  • 1999-01. Sentinel lymph node detection and imaging in EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
  • 1998-02. Sentinel node biopsy: role of nuclear medicine in conservative surgery of breast cancer in EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00259-003-1147-8

    DOI

    http://dx.doi.org/10.1007/s00259-003-1147-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019876128

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/12677304


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