Lymphoscintigraphic SPECT/CT localization of a sentinel node in an unusual position: Rotter's node.

Abstract

A 57-year-old woman with infiltrating ductal carcinoma of the right breast underwent lymph node scintigraphy with Tc-99m-nanocolloid for preoperative sentinel node localization. On planar images, an unusual pattern of lymphatic drainage was observed. We performed a chest SPECT/CT, revealing an interpectoral sentinel node, ie, Rotter's node. The patient underwent radioguided surgery and the sentinel node was located intraoperatively, and found to be disease-free. SPECT/CT fusion techniques have enhanced precision in locating sentinel nodes, enabling the surgeon to shorten surgical times.

• Authors: Alejandro Andrés, Leticia Tardín, Paula Razola, Albert Santapau, Enrique Prats, Ramon Sousa, Fausto García, Javier Banzo
• Journal: Clinical nuclear medicine (Clin Nucl Med) Vol. 34 Issue 3 Pg. 182-3 (Mar 2009) ISSN: 1536-0229 [Electronic] United States
• PMID: 19352288 (Publication Type: Case Reports, Journal Article)

Chemical References

• Technetium Tc 99m Aggregated Albumin
• technetium Tc 99m nanocolloid

Topics

• Breast Neoplasms (diagnostic imaging, pathology, surgery)
• Carcinoma, Ductal (diagnostic imaging, pathology, surgery)
• Female
• Humans
• Lymph Nodes (diagnostic imaging, pathology)
• Middle Aged
• Radiosurgery
• Technetium Tc 99m Aggregated Albumin
• Tomography, Emission-Computed, Single-Photon
• Tomography, X-Ray Computed