Intraoperative Injection of Technetium-99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer Patients: A Single Institution Experience
Identifieur interne : 000466 ( Main/Exploration ); précédent : 000465; suivant : 000467Intraoperative Injection of Technetium-99m Sulfur Colloid for Sentinel Lymph Node Biopsy in Breast Cancer Patients: A Single Institution Experience
Auteurs : Julian Berrocal [États-Unis] ; Lawrence Saperstein [États-Unis] ; Baiba Grube [États-Unis] ; Nina R. Horowitz [États-Unis] ; Anees B. Chagpar [États-Unis] ; Brigid K. Killelea [États-Unis] ; Donald R. Lannin [États-Unis]Source :
- Surgery Research and Practice [ 2356-7759 ] ; 2017.
Abstract
Url:
DOI: 10.1155/2017/5924802
PubMed: 28492062
PubMed Central: 5406738
Affiliations:
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<author><name sortKey="Berrocal, Julian" sort="Berrocal, Julian" uniqKey="Berrocal J" first="Julian" last="Berrocal">Julian Berrocal</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Yale University School of Medicine and Yale Comprehensive Cancer Center, New Haven, CT 06520, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery, Yale University School of Medicine and Yale Comprehensive Cancer Center, New Haven, CT 06520</wicri:regionArea>
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<wicri:regionArea>Department of Surgery, Yale University School of Medicine and Yale Comprehensive Cancer Center, New Haven, CT 06520</wicri:regionArea>
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<author><name sortKey="Horowitz, Nina R" sort="Horowitz, Nina R" uniqKey="Horowitz N" first="Nina R." last="Horowitz">Nina R. Horowitz</name>
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<author><name sortKey="Chagpar, Anees B" sort="Chagpar, Anees B" uniqKey="Chagpar A" first="Anees B." last="Chagpar">Anees B. Chagpar</name>
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<author><name sortKey="Killelea, Brigid K" sort="Killelea, Brigid K" uniqKey="Killelea B" first="Brigid K." last="Killelea">Brigid K. Killelea</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Surgery, Yale University School of Medicine and Yale Comprehensive Cancer Center, New Haven, CT 06520</wicri:regionArea>
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<author><name sortKey="Lannin, Donald R" sort="Lannin, Donald R" uniqKey="Lannin D" first="Donald R." last="Lannin">Donald R. Lannin</name>
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<series><title level="j">Surgery Research and Practice</title>
<idno type="ISSN">2356-7759</idno>
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<front><div type="abstract" xml:lang="en"><p><italic>Background</italic>
. Most institutions require a patient undergoing sentinel lymph node biopsy to go through nuclear medicine prior to surgery to be injected with radioisotope. This study describes the long-term results using intraoperative injection of radioisotope.<italic> Methods</italic>
. Since late 2002, all patients undergoing a sentinel lymph node biopsy at the Yale-New Haven Breast Center underwent intraoperative injection of technetium-99m sulfur colloid. Endpoints included number of sentinel and nonsentinel lymph nodes obtained and number of positive sentinel and nonsentinel lymph nodes.<italic> Results</italic>
. At least one sentinel lymph node was obtained in 2,333 out of 2,338 cases of sentinel node biopsy for an identification rate of 99.8%. The median number of sentinel nodes found was 2 and the mean was 2.33 (range: 1–15). There were 512 cases (21.9%) in which a sentinel node was positive for metastatic carcinoma. Of the patients with a positive sentinel lymph node who underwent axillary dissection, there were 242 cases (54.2%) with no additional positive nonsentinel lymph nodes. Advantages of intraoperative injection included increased comfort for the patient and simplification of scheduling. There were no radiation related complications.<italic> Conclusion</italic>
. Intraoperative injection of technetium-99m sulfur colloid is convenient, effective, safe, and comfortable for the patient. </p>
</div>
</front>
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