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Sentinel Lymph Node Detection in Contralateral Axilla at Initial Presentation of a Breast Cancer Patient: Case Report.

Uçmak Vural G, Şahiner I, Demirtaş S, Efetürk H, Demirel BB - Mol Imaging Radionucl Ther (2015)

Bottom Line: However, extra-axillary drainage may be seen in some patients.In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Ankara Oncology Hospital, Clinic of Nuclear Medicine, Ankara, Turkey Phone: +90 312 336 09 09 E-mail: ilginsahiner@yahoo.com.

ABSTRACT
The main basin for breast lymphatic drainage is ipsilateral axilla. However, extra-axillary drainage may be seen in some patients. The most common extra-axillary site is internal mammary chain, while contralateral axillary drainage is an extremely rare situation in previously untreated patients. We describe a case of untreated right breast retroareolar carcinoma with contralateral axillary drainage detected on preoperative lymphoscintigraphy. Contralateral axillary dissection was performed based on the result of frozen section examination of the sentinel lymph node (SLN) which turned out to burden micrometastasis. Postoperative histopathological examination revealed invasive ductal carcinoma metastasis in 17 out of 22 lymph nodes from the ipsilateral axillary dissection, whereas 14 lymph nodes from contralateral axillary dissection other than the SLN were nonmetastatic. In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.

No MeSH data available.


Related in: MedlinePlus

Preoperative lymphoscintigraphy, demonstrating lack of ipsilateral lymphatic drainage in the right axilla up to 180 minutes after injection time. Serial static imaging demonstrated contralateral axillary sentinel lymph node as faint focal uptake in the left axillary region 120 minutes after injection (thin arrow, lower left row), and a more prominent focal uptake (thick arrow, lower right row) 180 minutes after application of radioactivity decontamination solution
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f1: Preoperative lymphoscintigraphy, demonstrating lack of ipsilateral lymphatic drainage in the right axilla up to 180 minutes after injection time. Serial static imaging demonstrated contralateral axillary sentinel lymph node as faint focal uptake in the left axillary region 120 minutes after injection (thin arrow, lower left row), and a more prominent focal uptake (thick arrow, lower right row) 180 minutes after application of radioactivity decontamination solution

Mentions: Preoperative lymphatic mapping was performed on the day of the operation. Intradermal injections Tc-99m albumin colloid (NanoCIS; Cis Bio International) each containing activities of 0.1 mCi were applied periareolarly and intraparenchymally to the biopsy site. No ipsilateral axillary drainage was seen on lymphoscintigraphy, whereas focal radiocolloid uptake was detected in the contralateral axilla (Figure 1).


Sentinel Lymph Node Detection in Contralateral Axilla at Initial Presentation of a Breast Cancer Patient: Case Report.

Uçmak Vural G, Şahiner I, Demirtaş S, Efetürk H, Demirel BB - Mol Imaging Radionucl Ther (2015)

Preoperative lymphoscintigraphy, demonstrating lack of ipsilateral lymphatic drainage in the right axilla up to 180 minutes after injection time. Serial static imaging demonstrated contralateral axillary sentinel lymph node as faint focal uptake in the left axillary region 120 minutes after injection (thin arrow, lower left row), and a more prominent focal uptake (thick arrow, lower right row) 180 minutes after application of radioactivity decontamination solution
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563177&req=5

f1: Preoperative lymphoscintigraphy, demonstrating lack of ipsilateral lymphatic drainage in the right axilla up to 180 minutes after injection time. Serial static imaging demonstrated contralateral axillary sentinel lymph node as faint focal uptake in the left axillary region 120 minutes after injection (thin arrow, lower left row), and a more prominent focal uptake (thick arrow, lower right row) 180 minutes after application of radioactivity decontamination solution
Mentions: Preoperative lymphatic mapping was performed on the day of the operation. Intradermal injections Tc-99m albumin colloid (NanoCIS; Cis Bio International) each containing activities of 0.1 mCi were applied periareolarly and intraparenchymally to the biopsy site. No ipsilateral axillary drainage was seen on lymphoscintigraphy, whereas focal radiocolloid uptake was detected in the contralateral axilla (Figure 1).

Bottom Line: However, extra-axillary drainage may be seen in some patients.In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Ankara Oncology Hospital, Clinic of Nuclear Medicine, Ankara, Turkey Phone: +90 312 336 09 09 E-mail: ilginsahiner@yahoo.com.

ABSTRACT
The main basin for breast lymphatic drainage is ipsilateral axilla. However, extra-axillary drainage may be seen in some patients. The most common extra-axillary site is internal mammary chain, while contralateral axillary drainage is an extremely rare situation in previously untreated patients. We describe a case of untreated right breast retroareolar carcinoma with contralateral axillary drainage detected on preoperative lymphoscintigraphy. Contralateral axillary dissection was performed based on the result of frozen section examination of the sentinel lymph node (SLN) which turned out to burden micrometastasis. Postoperative histopathological examination revealed invasive ductal carcinoma metastasis in 17 out of 22 lymph nodes from the ipsilateral axillary dissection, whereas 14 lymph nodes from contralateral axillary dissection other than the SLN were nonmetastatic. In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.

No MeSH data available.


Related in: MedlinePlus