Lymphatic mapping and sentinel node biopsy in women with an ipsilateral second breast carcinoma and a history of breast and axillary surgery - 18/08/11
, Conrad E. Nagle, M.D. b, Jane Pettinga, M.D. c
Corresponding author. Tel.: +1-248-551-6051; fax: +1-248-551-5520.Abstract |
Background |
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.
Methods |
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.
Results |
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.
Conclusions |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Lymphatic mapping, Previous axillary lymphadenectomy, Previous lumpectomy, Recurrent breast carcinoma, Reoperative lymphoscintigraphy, Second primary breast carcinoma
Plan
Vol 190 - N° 4
P. 614-617 - octobre 2005 Retour au numéro
Article précédent
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