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Visualization of contralateral axillary sentinel node in a patient with breast cancer relapse and prior negative sentinel node

Published:August 07, 2017DOI:https://doi.org/10.1016/j.surg.2017.07.005
      A 58-year-old woman was diagnosed with infiltrating ductal carcinoma in 2012. It was operatively removed by means of lumpectomy with selective sentinel node biopsy and was free of metastases. Subsequently, the patient received chemotherapy and adjuvant radiotherapy. In 2015 a new periareolar mass in the left breast was found and diagnosed by core needle biopsy as invasive duct carcinoma. After receiving chemotherapy treatment and verifying neither regional nor distant disease were discovered, lymphoscintigraphy was performed with periareolar injections of 74 MBq 99mTc-nanocolloid in the left breast. Planar lymphoscintigraphy imaging, and single photon emission computed tomography/computed tomography (Figure, A and B) performed 2 hours after injection (arrow head) revealed 3 sentinel lymph nodes (arrows) in the contralateral axilla.
      Fig
      FigTransaxial single photon emission computed tomography/computed tomography fusion image. (A) Images revealed 1 sentinel lymph nodes (arrows) in the contralateral axilla. (B) Periareolar injection of radiotracer.
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