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Gynécologie Obstétrique & Fertilité
Volume 43, n° 2
pages 172-175 (février 2015)
Doi : 10.1016/j.gyobfe.2014.07.016
Received : 20 May 2014 ;  accepted : 15 July 2014
Intérêt du repérage per-opératoire 3D des ganglions sentinelles dans le cancer du sein
Freehand SPECT for navigation and sentinel node detection in breast cancer

C. Gillard a, P. Franken b, J. Darcourt b, E. Barranger a,
a Département de chirurgie oncologique, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 2, France 
b Département de médecine nucléaire, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 2, France 

Auteur correspondant.

La technique du ganglion sentinelle (GS) est un standard de la prise en charge chirurgicale axillaire du cancer du sein localisé N0. Elle repose sur une double détection radio-isotopique et colorimétrique. Grâce à une sonde de détection gamma reliée à une caméra infrarouge, le système Déclipse SPECT (Surgiceye®) est capable de détecter et de localiser en 3D toute source radioactive. Son caractère mobile permettant son utilisation en salle d’opération est particulièrement intéressant pour la détection per-opératoire des GS. Nous illustrons son utilité dans un cas clinique où le repérage pré-opératoire des GS par lymphoscintigraphie n’était pas informatif.

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The sentinel lymph node (SLN) is a standard for the surgical treatment of axillary localized breast cancer N0. It is based on a double isotopic and color detection. With a gamma detecting probe connected to an infrared camera, Déclipse SPECT system (Surgiceye®) is able to detect and locate any radioactive source in 3D. Mobile character for use in the operating room is particularly interesting for the intraoperative detection of SLN. We illustrate its usefulness in a clinical case where the preoperative identification of SLN by lymphoscintigraphy was not informative.

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Mots clés : Cancer du sein, Ganglion sentinelle, Isotope, SPECT

Keywords : Breast cancer, Sentinel lymph node, Isotopic detection, Freehand SPECT

© 2014  Published by Elsevier Masson SAS.
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