Detection of parasternal metastatic lymph nodes by sentinel lymph node methods in a patient with recurrence in the conserved breast

We herein report a case of second sentinel lymph node biopsy (SLNB). A 57-year-old woman underwent breast-conserving surgery including axillary clearance at Aichi Cancer Center on October 20, 2003. Recurrent tumor in the conserved breast was diagnosed in March 2006. She received SLNB using radioacti...

Full description

Saved in:
Bibliographic Details
Published in:Breast cancer (Tokyo, Japan) Japan), 2014-03, Vol.21 (2), p.246-248
Main Authors: Yamashita, Toshinari, Fujita, Takashi, Hayashi, Hironori, Ando, Yoshiaki, Hato, Yukari, Horio, Akiyo, Toyoshima, Chieko, Yamada, Mai, Iwata, Hiroji
Format: Article
Language:English
Subjects:
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Cancer
Cancer Research
Case Report
Chemotherapy
Diseases
Female
Humans
Lumpectomy
Lymphatic Metastasis - pathology
Mastectomy, Segmental
Medicine
Medicine & Public Health
Metastasis
Methods
Middle Aged
Neoplasm Recurrence, Local - pathology
Oncology
Relapse
Sentinel Lymph Node Biopsy - methods
Surgery
Surgical Oncology
Tracers (Biology)
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We herein report a case of second sentinel lymph node biopsy (SLNB). A 57-year-old woman underwent breast-conserving surgery including axillary clearance at Aichi Cancer Center on October 20, 2003. Recurrent tumor in the conserved breast was diagnosed in March 2006. She received SLNB using radioactive tracer. Preoperative lymphoscintigraphy detected 2 parasternal lymph nodes as hot spots. No abnormal lymph nodes were revealed on preoperative computed tomography. Salvage mastectomy was performed along with dissection of the Rotter and infraclavicular lymph nodes and biopsy of the detected parasternal lymph nodes. Micrometastases were discovered in both parasternal lymph nodes detected as sentinel lymph nodes. No more metastases were seen in the other lymph nodes. Reoperative SLNB offers the possibility of detecting metastasis in residual lymph nodes and determining whether chemotherapy should be used.
ISSN:1340-6868
1880-4233
DOI:10.1007/s12282-010-0248-z