[Intramammary sentinel lymph node preoperative identification with SPECT/CT in a patient with breast cancer. Clinical meaning and relevance]

Rev Esp Med Nucl. 2011 Mar-Apr;30(2):101-3. doi: 10.1016/j.remn.2010.09.008. Epub 2011 Feb 18.
[Article in Spanish]

Abstract

We present the case of a patient with breast cancer who underwent selective sentinel lymph node biopsy. An intramammary sentinel lymph node was identified with SPECT/CT in the preoperative lymphoscintigraphy. We describe our diagnostic and therapeutic procedure regarding this finding and the literature review to evaluate the clinical significance of their identification and metastases, especially in regards to more appropriate axillary management. Further studies with more statistical significance are necessary to elucidate the most suitable attitude when an intramammary sentinel lymph node is identified with the lymphoscintigraphy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Axilla
  • Breast / diagnostic imaging
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / surgery
  • Carcinoma, Ductal, Breast / diagnostic imaging
  • Carcinoma, Ductal, Breast / secondary*
  • Carcinoma, Ductal, Breast / surgery
  • Female
  • Humans
  • Lymph Node Excision
  • Lymph Nodes / diagnostic imaging*
  • Lymphatic Metastasis / diagnostic imaging*
  • Mastectomy, Segmental
  • Preoperative Care
  • Radiopharmaceuticals
  • Sentinel Lymph Node Biopsy*
  • Technetium Tc 99m Aggregated Albumin
  • Tomography, Emission-Computed, Single-Photon*
  • Tomography, X-Ray Computed*

Substances

  • Radiopharmaceuticals
  • Technetium Tc 99m Aggregated Albumin
  • technetium Tc 99m nanocolloid