Bilateral axillary and internal mammary drainage in breast cancer without prior surgery during sentinel node mapping
Identifieur interne : 005800 ( Ncbi/Merge ); précédent : 005799; suivant : 005801Bilateral axillary and internal mammary drainage in breast cancer without prior surgery during sentinel node mapping
Auteurs : Justo Serrano Vicente [Espagne] ; M Luz Domínguez Grande [Espagne] ; Carmen Durán Barquero [Espagne] ; Jrafael Infante Torre [Espagne] ; Lucía García Bernardo [Espagne] ; J Ignacio Rayo Madrid [Espagne] ; M Isabel Correa Antúnez [Espagne]Source :
- Indian Journal of Nuclear Medicine : IJNM : The Official Journal of the Society of Nuclear Medicine, India [ 0972-3919 ] ; 2011.
Abstract
Lymphatic drainage outside the ipsilateral axilla in breast cancer is discovered in as many as 25% of all sentinel lymph node procedures and it is evidenced by lymphoscintigraphy. Contralateral axillary drainage is a rare clinical situation, mostly if there is not prior breast surgery, but this situation is extremely exceptional if we also found internal mammary chain drainage. We have not found such a case published in literature. This atypical finding is source of doubts because it could have clinical implications in the management of patients. We present a woman just diagnosed of breast carcinoma with hot nodes in bilateral axillary and ipsilateral internal mammary chain lymph nodes, shown by preoperative lymphoscintigraphy. We review published cases with contralateral axillary drainage, which enhance the role of scintigraphic procedure in such cases and show induced controversies in selecting the most adequate management.
Url:
DOI: 10.4103/0972-3919.106716
PubMed: 23559720
PubMed Central: 3613631
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<front><div type="abstract" xml:lang="en"><p>Lymphatic drainage outside the ipsilateral axilla in breast cancer is discovered in as many as 25% of all sentinel lymph node procedures and it is evidenced by lymphoscintigraphy. Contralateral axillary drainage is a rare clinical situation, mostly if there is not prior breast surgery, but this situation is extremely exceptional if we also found internal mammary chain drainage. We have not found such a case published in literature. This atypical finding is source of doubts because it could have clinical implications in the management of patients. We present a woman just diagnosed of breast carcinoma with hot nodes in bilateral axillary and ipsilateral internal mammary chain lymph nodes, shown by preoperative lymphoscintigraphy. We review published cases with contralateral axillary drainage, which enhance the role of scintigraphic procedure in such cases and show induced controversies in selecting the most adequate management.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Nucl Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Indian J Nucl Med</journal-id>
<journal-id journal-id-type="publisher-id">IJNM</journal-id>
<journal-title-group><journal-title>Indian Journal of Nuclear Medicine : IJNM : The Official Journal of the Society of Nuclear Medicine, India</journal-title>
</journal-title-group>
<issn pub-type="ppub">0972-3919</issn>
<issn pub-type="epub">0974-0244</issn>
<publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name>
<publisher-loc>India</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23559720</article-id>
<article-id pub-id-type="pmc">3613631</article-id>
<article-id pub-id-type="publisher-id">IJNM-26-205</article-id>
<article-id pub-id-type="doi">10.4103/0972-3919.106716</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Bilateral axillary and internal mammary drainage in breast cancer without prior surgery during sentinel node mapping</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Vicente</surname>
<given-names>Justo Serrano</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Grande</surname>
<given-names>M Luz Domínguez</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Barquero</surname>
<given-names>Carmen Durán</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Torre</surname>
<given-names>Jrafael Infante</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bernardo</surname>
<given-names>Lucía García</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Madrid</surname>
<given-names>J Ignacio Rayo</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Antúnez</surname>
<given-names>M Isabel Correa</given-names>
</name>
<xref ref-type="aff" rid="aff1"></xref>
</contrib>
</contrib-group>
<aff id="aff1">Department of Nuclear Medicine, Infanta Cristina Hospital, Badajoz, Spain</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
Dr. Justo Serrano Vicente, Department of Nuclear Medicine, Hospital Infanta Cristina, Avda Elvas S/N, 06080 Badajoz, Spain. E-mail: <email xlink:href="titoserrano@gmail.com">titoserrano@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Oct-Dec</season>
<year>2011</year>
</pub-date>
<volume>26</volume>
<issue>4</issue>
<fpage>205</fpage>
<lpage>207</lpage>
<permissions><copyright-statement>Copyright: © Indian Journal of Nuclear Medicine</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Lymphatic drainage outside the ipsilateral axilla in breast cancer is discovered in as many as 25% of all sentinel lymph node procedures and it is evidenced by lymphoscintigraphy. Contralateral axillary drainage is a rare clinical situation, mostly if there is not prior breast surgery, but this situation is extremely exceptional if we also found internal mammary chain drainage. We have not found such a case published in literature. This atypical finding is source of doubts because it could have clinical implications in the management of patients. We present a woman just diagnosed of breast carcinoma with hot nodes in bilateral axillary and ipsilateral internal mammary chain lymph nodes, shown by preoperative lymphoscintigraphy. We review published cases with contralateral axillary drainage, which enhance the role of scintigraphic procedure in such cases and show induced controversies in selecting the most adequate management.</p>
</abstract>
<kwd-group><kwd>Breast cancer</kwd>
<kwd>contralateral axillary drainage</kwd>
<kwd>lymphoscintigraphy</kwd>
<kwd>sentinel node</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Espagne</li>
</country>
</list>
<tree><country name="Espagne"><noRegion><name sortKey="Vicente, Justo Serrano" sort="Vicente, Justo Serrano" uniqKey="Vicente J" first="Justo Serrano" last="Vicente">Justo Serrano Vicente</name>
</noRegion>
<name sortKey="Antunez, M Isabel Correa" sort="Antunez, M Isabel Correa" uniqKey="Antunez M" first="M Isabel Correa" last="Antúnez">M Isabel Correa Antúnez</name>
<name sortKey="Barquero, Carmen Duran" sort="Barquero, Carmen Duran" uniqKey="Barquero C" first="Carmen Durán" last="Barquero">Carmen Durán Barquero</name>
<name sortKey="Bernardo, Lucia Garcia" sort="Bernardo, Lucia Garcia" uniqKey="Bernardo L" first="Lucía García" last="Bernardo">Lucía García Bernardo</name>
<name sortKey="Grande, M Luz Dominguez" sort="Grande, M Luz Dominguez" uniqKey="Grande M" first="M Luz Domínguez" last="Grande">M Luz Domínguez Grande</name>
<name sortKey="Madrid, J Ignacio Rayo" sort="Madrid, J Ignacio Rayo" uniqKey="Madrid J" first="J Ignacio Rayo" last="Madrid">J Ignacio Rayo Madrid</name>
<name sortKey="Torre, Jrafael Infante" sort="Torre, Jrafael Infante" uniqKey="Torre J" first="Jrafael Infante" last="Torre">Jrafael Infante Torre</name>
</country>
</tree>
</affiliations>
</record>
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