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Axillary reverse mapping using 99mTc-SC: a case illustration.

Abstract
Lymphedema is a common complication in breast carcinoma patients undergoing axillary lymph node dissection. Although there is a significant reduction in the lymphedema rate with sentinel lymph node biopsy compared to axillary lymph node dissection, there is some risk after sentinel lymph node biopsy. Axillary reverse mapping, an emerging concept aims at identifying and preserving the draining lymph node of the arm that is invariably devoid of malignancy. This concept if validated may prevent lymphedema in breast carcinoma patients. Axillary reverse mapping node can be identified using a radiotracer or blue dye. We describe the procedure using filtered Tc-SC.
AuthorsSunny J Gandhi, C Satish, P Shanmuga Sundaram, Padma Subramanyam, D K Vijaykumar
JournalClinical nuclear medicine (Clin Nucl Med) Vol. 39 Issue 10 Pg. e428-30 (Oct 2014) ISSN: 1536-0229 [Electronic] United States
PMID24152646 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Radiopharmaceuticals
  • Technetium Tc 99m Sulfur Colloid
Topics
  • Aged
  • Axilla
  • Breast Neoplasms (diagnostic imaging, pathology)
  • Female
  • Humans
  • Lymph Node Excision
  • Lymph Nodes (diagnostic imaging, pathology, surgery)
  • Lymphedema (diagnostic imaging, pathology)
  • Radiopharmaceuticals
  • Technetium Tc 99m Sulfur Colloid
  • Tomography, Emission-Computed

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