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Original Research

Open Access

Sentinel lymph node detection by intranipple injection of patent blue dye in breast cancer: a preliminary report of a feasibility study

  • S. Zervoudis1,2,3,*,
  • G. Iatrakis2
  • M. Paschopoulos3
  • V. Dousias3
  • N. Geahchan4
  • T. Stefos3
  • F. Pechlivani2
  • I. Navrozoglou3

1Breast Unit, Lito and Rea Maternity Hospital, Athens, Greece

2Technological Educational Institution of Athens, Athens, Greece

3Breast Unit, Department of Obstetrics and Gynecology, Medical School, University of Ioannina, Ioannina, Greece

4Department of Surgery, Medical School, Saint-Joseph University, Beirut, Lebanon

DOI: 10.12892/ejgo201203304 Vol.33,Issue 3,May 2012 pp.304-305

Published: 10 May 2012

*Corresponding Author(s): S. Zervoudis E-mail: szervoud@otenet.gr

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Abstract

Sentinel lymph node (SLN) biopsy is a well established option for assessing axillary lymph node status in breast cancer. Several techniques have been applied so far (superficial or deeper ones). Based on anatomical features of the lymphatic drainage in the breast, we assessed the feasibility of an intranipple approach for SLN mapping. Our data support the feasibility of SLN detection by our technique, with a high rate of SLN identification, which could be used in clinical practice as an alternative to the peri-areolar approach.

Keywords

Sentinel lymph node detection; Breast cancer; Patent blue; Intranipple injection; Techniques for SNL identification

Cite and Share

S. Zervoudis,G. Iatrakis,M. Paschopoulos,V. Dousias,N. Geahchan,T. Stefos,F. Pechlivani,I. Navrozoglou. Sentinel lymph node detection by intranipple injection of patent blue dye in breast cancer: a preliminary report of a feasibility study. European Journal of Gynaecological Oncology. 2012. 33(3);304-305.

URL:

https://www.ejgo.net/articles/10.12892/ejgo201203304

References

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[3] Singer R.: “Lymph drainage of the breast”. S. Afr. Med. J., 1951, 25, 355.

[4] Hultborn K.A., Larsson L.G., Ragnhult I.: “The lymph drainage from the breast to the axillary and parasternal lymph nodes, studied with the aid of colloidal Au198”. Acta Radiol., 1955, 43, 52.

[5] Suami H., Pan W.R., Mann G.B., Taylor G.I.: “The lymphatic anatomy of the breast and its implications for sentinel lymph node biopsy: a human cadaver study”. Ann. Surg. Oncol., 2008, 15, 863.

[6] Salhab M., Al Sarakbi W., Mobkel K.: “Skin and fat necrosis of the breast following methylene blue dye injection for sentinel node biopsy in a patient with breast cancer”. Int. Sem. Surg. Oncol., 2005, 2.

[7] Silberstein E., Koretz M., Rosenberg L., Bogdanov-Berezovsky A.: “Long-term blue discoloration after intradermal injection of blue dye for sentinel lymph node biopsy”. Isr. Med. Assoc. J., 2009, 11, 446.

[8] Kern K.A.: “Sentinel lymph node mapping in breast cancer using subareolar injection of blue dye”. J. Am. Coll. Surg., 1999, 189, 539.

[9] Guenther J.M.: “Axillary dissection after unsuccessful sentinel lymphadenectomy for breast cancer”. Am. Surg., 1999, 65, 991.

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