Drainage Across Midline to Sentinel Nodes in the Contralateral Axilla in Breast Cancer

The authors report a case of recurrent breast carcinoma in the right chest in a patient who earlier had a right breast mastectomy. Injection of Tc-99m sulfur colloid into the lesion site in the right midchest revealed drainage to a very faint node in the contralateral axilla on the left, an unexpect...

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Bibliographic Details
Published in:Clinical nuclear medicine 2004-06, Vol.29 (6), p.346-347
Main Authors: Lim, Ilhan, Shim, Jungho, Goyenechea, Martin, Kim, Chun K, Krynyckyi, Borys R
Format: Article
Language:English
Subjects:
Adult
Axilla - diagnostic imaging
Axilla - pathology
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - pathology
Carcinoma, Ductal - diagnostic imaging
Carcinoma, Ductal - pathology
Carcinoma, Ductal - secondary
Diagnosis, Differential
Female
Humans
Incidental Findings
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymphatic Metastasis
Neoplasm Recurrence, Local - diagnostic imaging
Neoplasm Recurrence, Local - surgery
Radionuclide Imaging
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Summary:The authors report a case of recurrent breast carcinoma in the right chest in a patient who earlier had a right breast mastectomy. Injection of Tc-99m sulfur colloid into the lesion site in the right midchest revealed drainage to a very faint node in the contralateral axilla on the left, an unexpected site, and none to the ipsilateral axilla, the expected site. Disease was found in the left axilla in the sentinel nodes. Lymphoscintigraphy added valuable information in the management of this patient.
ISSN:0363-9762
1536-0229
DOI:10.1097/01.rlu.0000127087.12686.81