Lymphatic mapping and sentinel node biopsy in women with an ipsilateral second breast carcinoma and a history of breast and axillary surgery

Women with a history of breast and axillary surgery may demonstrate aberrant lymphatic drainage caused by disrupted lymphatic channels. Lymphoscintigraphy may be valuable in evaluation and staging of an ipsilateral second breast carcinoma. We conducted a retrospective review of 16 women treated for...

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Bibliographic Details
Published in:The American journal of surgery 2005-10, Vol.190 (4), p.614-617
Main Authors: Dinan, David, Nagle, Conrad E., Pettinga, Jane
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Axilla - pathology
Axilla - surgery
Biological and medical sciences
Biopsy
Breast cancer
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Female
General aspects
Gynecology. Andrology. Obstetrics
Humans
Lymphatic mapping
Lymphatic system
Mammary gland diseases
Mastectomy
Medical sciences
Middle Aged
Neoplasm Recurrence, Local
Neoplasm Staging
Neoplasms, Second Primary - pathology
Previous axillary lymphadenectomy
Previous lumpectomy
Radionuclide Imaging - methods
Recurrent breast carcinoma
Reoperative lymphoscintigraphy
Retrospective Studies
Second primary breast carcinoma
Sentinel Lymph Node Biopsy
Studies
Tumors
Womens history
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Summary:Women with a history of breast and axillary surgery may demonstrate aberrant lymphatic drainage caused by disrupted lymphatic channels. Lymphoscintigraphy may be valuable in evaluation and staging of an ipsilateral second breast carcinoma. We conducted a retrospective review of 16 women treated for a second ipsilateral breast carcinoma who underwent breast lymphoscintigraphy and intraoperative lymphatic mapping. Drainage patterns were compared with pathologic and operative findings. Lymphoscintigraphy succeeded in 69% of patients and demonstrated widely varied drainage patterns including ipsilateral axillary and supraclavicular as well as contralateral axillary and supraclavicular basins. No trend between successful lymphatic mapping and multiple clinical and pathologic measures was seen. In women with a second ipsilateral breast carcinoma and history of previous breast and axillary surgery, lymphoscintigraphy is feasible. Drainage patterns vary widely including across the midline of the thorax. Preoperative lymphoscintigraphy may be useful to ensure inclusion of potential sentinel nodes within the operative field.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2005.06.025