The Impact of Nonvisualization of Sentinel Nodes on Lymphoscintigraphy in Breast Cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-05-05

AUTHORS

C. Rousseau, J. M. Classe, L. Campion, C. Curtet, F. Dravet, R. Pioud, C. Sagan, B. Bridji, I. Resche

ABSTRACT

BackgroundThis study aimed at evaluating the relationship between the nonvisualization of sentinel nodes (SNs) at lymphoscintigraphy and the intraoperative detection rate, radioactive counts in vivo, and histological status of SNs.MethodsTwo hundred eighty patients with infiltrating breast carcinoma (T0, T1/T2) underwent preoperative lymphoscintigraphy before gamma probe–guided SN biopsy.ResultsThe surgical identification rate with a gamma probe was 84.6% (56 of 280) in lymphoscintigraphy-negative patients and 93.2% (224 of 280) in lymphoscintigraphy-positive patients (P < .05) after two subdermal periareolar injections. The average number of SNs per patient was 1.7 in lymphoscintigraphy-negative patients and 2.2 in lymphoscintigraphy-positive patients (P < .01), as assessed by gamma detection. The mean age of lymphoscintigraphy-negative patients was 62 ± 10 years, versus 55 ± 13 years for lymphoscintigraphy-positive patients (P < .001). The median radioactive count in dissected SNs identified by gamma detection was 204 cps (range, 4–618 cps) in lymphoscintigraphy-negative patients, versus 606 cps (range, 43–16,928 cps) in lymphoscintigraphy-positive patients (P < .001). The rate of macrometastatic SNs was 40% in lymphoscintigraphy-negative patients, versus 30% in lymphoscintigraphy-positive patients (not significant), whereas the size of involved SNs was 16.6 mm in lymphoscintigraphy-negative patients, versus 13.1 in lymphoscintigraphy-positive patients (P < .05). The micrometastasis detection rate in SNs from lymphoscintigraphy-negative patients was 6.25%, versus 23.3% in lymphoscintigraphy-positive patients (P < .01).ConclusionsNegative lymphoscintigraphy was observed in 20% of patients and was more frequent in elderly patients. Negative lymphoscintigraphy was predictive of a lower surgical identification rate and fewer detected SNs. These SNs had fewer micrometastases, were fairly large, and tended to harbor metastases. More... »

PAGES

533-538

Identifiers

URI

http://scigraph.springernature.com/pub.10.1245/aso.2005.07.014

DOI

http://dx.doi.org/10.1245/aso.2005.07.014

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1045183209

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15889212


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