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How Long Will I Be Blue? Prolonged Skin Staining Following Sentinel Lymph Node Biopsy Using Intradermal Patent Blue Dye

Identifieur interne : 002295 ( Pmc/Checkpoint ); précédent : 002294; suivant : 002296

How Long Will I Be Blue? Prolonged Skin Staining Following Sentinel Lymph Node Biopsy Using Intradermal Patent Blue Dye

Auteurs : Metehan Gumus [Turquie] ; Hatice Gumus [Turquie] ; Sue E. Jones [Royaume-Uni] ; Peter A. Jones [Royaume-Uni] ; Ali R. Sever [Royaume-Uni] ; Jennifer Weeks [Royaume-Uni]

Source :

RBID : PMC:3728719

Abstract

SummaryBackground

Blue dye used for sentinel lymph node biopsy (SLNB) in breast cancer patients may cause prolonged skin discoloration at the site of injection. The aim of this study was to assess the duration of such skin discoloration.

Patients and Methods

236 consecutive patients who had undergone breast conserving surgery and SLNB for breast cancer were reviewed prospectively from January 2007 to December 2009.

Results

Of the 236 patients, 2 had undergone bilateral surgery, and 41 had been examined in consecutive yearly reviews. Blue discoloration remained visible at the injection site after 12, 24, and > 36 months in 36.5, 23.6, and 8.6% of the patients, respectively.

Conclusion

The use of patent blue for identification of the sentinel lymph node in patients undergoing breast cancer surgery may result in prolonged discoloration of the skin at the injection site.


Url:
DOI: 10.1159/000352092
PubMed: 24415970
PubMed Central: 3728719


Affiliations:


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PMC:3728719

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<title level="j">Breast Care</title>
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<div type="abstract" xml:lang="en">
<title>Summary</title>
<sec>
<title>Background</title>
<p>Blue dye used for sentinel lymph node biopsy (SLNB) in breast cancer patients may cause prolonged skin discoloration at the site of injection. The aim of this study was to assess the duration of such skin discoloration.</p>
</sec>
<sec>
<title>Patients and Methods</title>
<p>236 consecutive patients who had undergone breast conserving surgery and SLNB for breast cancer were reviewed prospectively from January 2007 to December 2009.</p>
</sec>
<sec>
<title>Results</title>
<p>Of the 236 patients, 2 had undergone bilateral surgery, and 41 had been examined in consecutive yearly reviews. Blue discoloration remained visible at the injection site after 12, 24, and > 36 months in 36.5, 23.6, and 8.6% of the patients, respectively.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The use of patent blue for identification of the sentinel lymph node in patients undergoing breast cancer surgery may result in prolonged discoloration of the skin at the injection site.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Breast Care (Basel)</journal-id>
<journal-id journal-id-type="iso-abbrev">Breast Care (Basel)</journal-id>
<journal-id journal-id-type="publisher-id">BRC</journal-id>
<journal-title-group>
<journal-title>Breast Care</journal-title>
</journal-title-group>
<issn pub-type="ppub">1661-3791</issn>
<issn pub-type="epub">1661-3805</issn>
<publisher>
<publisher-name>S. Karger Verlag für Medizin und Naturwissenschaften GmbH</publisher-name>
<publisher-loc>Wilhelmstrasse 20A, P.O. Box · Postfach · Case postale, D–79095, Freiburg, Germany · Deutschland · Allemagne, Phone: +49 761 45 20 70, Fax: +49 761 4 52 07 14, information@karger.de</publisher-loc>
</publisher>
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<article-id pub-id-type="pmid">24415970</article-id>
<article-id pub-id-type="pmc">3728719</article-id>
<article-id pub-id-type="doi">10.1159/000352092</article-id>
<article-id pub-id-type="publisher-id">brc-0008-0199</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article · Originalarbeit</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>How Long Will I Be Blue? Prolonged Skin Staining Following Sentinel Lymph Node Biopsy Using Intradermal Patent Blue Dye</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gumus</surname>
<given-names>Metehan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>a</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gumus</surname>
<given-names>Hatice</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>b</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Sue E</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>c</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jones</surname>
<given-names>Peter A</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>c</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sever</surname>
<given-names>Ali R</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>d</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Weeks</surname>
<given-names>Jennifer</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>d</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>a</sup>
Department of General Surgery, Dicle University, Medical School, Yenişehir, Diyarbakır, Turkey</aff>
<aff id="aff2">
<sup>b</sup>
Department of Radiology, Dicle University, Medical School, Yenişehir, Diyarbakır, Turkey</aff>
<aff id="aff3">
<sup>c</sup>
Department of Surgery, Maidstone Hospital, Hermitage Lane, Maidstone, United Kingdom</aff>
<aff id="aff4">
<sup>d</sup>
Department of Radiology, Maidstone Hospital, Hermitage Lane, Maidstone, United Kingdom</aff>
<author-notes>
<corresp id="cor1">*Assoc. Prof. Dr. Metehan Gumus, MD, Department of General Surgery, Medical School, Dicle University, Yenișehir 21280, Diyarbakır, Turkey,
<email>metehangumus@yahoo.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>6</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>8</volume>
<issue>3</issue>
<fpage>199</fpage>
<lpage>202</lpage>
<permissions>
<copyright-statement>Copyright © 2013 by S. Karger Verlag für Medizin und Naturwissenschaften GmbH, Freiburg</copyright-statement>
<copyright-year>2013</copyright-year>
</permissions>
<abstract>
<title>Summary</title>
<sec>
<title>Background</title>
<p>Blue dye used for sentinel lymph node biopsy (SLNB) in breast cancer patients may cause prolonged skin discoloration at the site of injection. The aim of this study was to assess the duration of such skin discoloration.</p>
</sec>
<sec>
<title>Patients and Methods</title>
<p>236 consecutive patients who had undergone breast conserving surgery and SLNB for breast cancer were reviewed prospectively from January 2007 to December 2009.</p>
</sec>
<sec>
<title>Results</title>
<p>Of the 236 patients, 2 had undergone bilateral surgery, and 41 had been examined in consecutive yearly reviews. Blue discoloration remained visible at the injection site after 12, 24, and > 36 months in 36.5, 23.6, and 8.6% of the patients, respectively.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The use of patent blue for identification of the sentinel lymph node in patients undergoing breast cancer surgery may result in prolonged discoloration of the skin at the injection site.</p>
</sec>
</abstract>
<trans-abstract xml:lang="de">
<sec id="sec1_2">
<title>Zusammenfassung</title>
<p>Hintergrund: Der für die Sentinel-Knoten-Biopsie bei Mammakarzinom-Patientinnen verwendete blaue Farbstoff kann längerfristige Hautverfärbungen im Injektionsbereich verursachen. Ziel dieser Studie war es, die Dauer derartiger Hautverfärbungen zu bestimmen. Patientinnen und Methoden: 236 aufeinanderfolgende Mammakarzinom-Patientinnen, bei denen eine brusterhaltende Operation und Sentinel-Knoten-Biopsie durchgeführt worden waren, wurden von Januar 2007 bis Dezember 2009 prospektiv untersucht. Ergebnisse: Bei 2 der 236 Patientinnen war eine bilaterale chirurgische Behandlung erfolgt, und 41 wurden im Rahmen jährlicher Nachuntersuchungen beurteilt. Blaue Verfärbungen im Injektionsbereich waren nach 12, 24 bzw. > 36 Monaten bei 36,5, 23,6 bzw. 8,6% der Patientinnen weiterhin sichtbar. Schlussfolgerung: Die Anwendung von Patentblau zur Identifikation des Sentinellymphknotens bei chirurgisch behandelten Mammakarzinom-Patientinnen kann zur längerfristigen Verfärbung der Haut im Injektionsbereich führen.</p>
</sec>
</trans-abstract>
<kwd-group>
<title>Key Words</title>
<kwd>Axillary staging</kwd>
<kwd>Sentinel lymph node biopsy</kwd>
<kwd>Skin discoloration</kwd>
<kwd>Patent blue</kwd>
</kwd-group>
<counts>
<fig-count count="4"></fig-count>
<table-count count="1"></table-count>
<ref-count count="21"></ref-count>
<page-count count="4"></page-count>
</counts>
</article-meta>
</front>
</pmc>
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<list>
<country>
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<li>Turquie</li>
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