Effect of lymphoscintigraphy drainage patterns on sentinel lymph node biopsy in patients with breast cancer

Anees B. Chagpar; Farid Kehdy; Charles R. Scoggins; Robert C G Martin; David J. Carlson; Alison L. Laidley; Souzan E. El-Eid; Terre Q. McGlothin; Robert D. Noyes; Phillip B. Ley; Todd M. Tuttle; Kelly M. McMasters

doi:10.1016/j.amjsurg.2005.06.010

Effect of lymphoscintigraphy drainage patterns on sentinel lymph node biopsy in patients with breast cancer

Anees B. Chagpar, Farid Kehdy, Charles R. Scoggins, Robert C G Martin, David J. Carlson, Alison L. Laidley, Souzan E. El-Eid, Terre Q. McGlothin, Robert D. Noyes, Phillip B. Ley, Todd M. Tuttle, Kelly M. McMasters

Surgery

Research output: Contribution to journal › Article › peer-review

34 Scopus citations

Abstract

Background: Sentinel lymph node (SLN) biopsy examination is an accepted method of staging breast cancer patients. SLN biopsy examination in patients with drainage to the internal mammary chain (IMC) nodes is controversial. Methods: A prospective study of SLN biopsy examination followed by axillary dissection was analyzed to determine how surgeons manage patients with IMC drainage and the rates of axillary SLN identification and positivity in these cases. Results: Lymphoscintigraphy was performed in 2196 (53.2%) of the 4131 patients in this study. IMC drainage was noted in 80 patients (3.6%). An axillary SLN was identified in 29 of the 40 patients with IMC drainage alone (72.5%). The rate of finding a positive axillary lymph node did not differ based on the lymphoscintigraphic pattern (P = .470). Conclusions: Most surgeons do not perform IMC SLN biopsy procedures. Even when lymphoscintigraphy shows isolated drainage to IMC nodes, axillary SLNs usually are identified. Lymphoscintigraphy therefore has limited usefulness.

Original language	English (US)
Pages (from-to)	557-562
Number of pages	6
Journal	American journal of surgery
Volume	190
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2005.06.010
State	Published - Oct 2005

Bibliographical note

Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.

Keywords

Breast cancer
Drainage
Internal mammary
Lymphoscintigraphy
Sentinel node biopsy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.amjsurg.2005.06.010

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Chagpar, A. B., Kehdy, F., Scoggins, C. R., Martin, R. C. G., Carlson, D. J., Laidley, A. L., El-Eid, S. E., McGlothin, T. Q., Noyes, R. D., Ley, P. B., Tuttle, T. M., & McMasters, K. M. (2005). Effect of lymphoscintigraphy drainage patterns on sentinel lymph node biopsy in patients with breast cancer. American journal of surgery, 190(4), 557-562. https://doi.org/10.1016/j.amjsurg.2005.06.010

Chagpar, AB, Kehdy, F, Scoggins, CR, Martin, RCG, Carlson, DJ, Laidley, AL, El-Eid, SE, McGlothin, TQ, Noyes, RD, Ley, PB, Tuttle, TM & McMasters, KM 2005, 'Effect of lymphoscintigraphy drainage patterns on sentinel lymph node biopsy in patients with breast cancer', American journal of surgery, vol. 190, no. 4, pp. 557-562. https://doi.org/10.1016/j.amjsurg.2005.06.010

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abstract = "Background: Sentinel lymph node (SLN) biopsy examination is an accepted method of staging breast cancer patients. SLN biopsy examination in patients with drainage to the internal mammary chain (IMC) nodes is controversial. Methods: A prospective study of SLN biopsy examination followed by axillary dissection was analyzed to determine how surgeons manage patients with IMC drainage and the rates of axillary SLN identification and positivity in these cases. Results: Lymphoscintigraphy was performed in 2196 (53.2%) of the 4131 patients in this study. IMC drainage was noted in 80 patients (3.6%). An axillary SLN was identified in 29 of the 40 patients with IMC drainage alone (72.5%). The rate of finding a positive axillary lymph node did not differ based on the lymphoscintigraphic pattern (P = .470). Conclusions: Most surgeons do not perform IMC SLN biopsy procedures. Even when lymphoscintigraphy shows isolated drainage to IMC nodes, axillary SLNs usually are identified. Lymphoscintigraphy therefore has limited usefulness.",

keywords = "Breast cancer, Drainage, Internal mammary, Lymphoscintigraphy, Sentinel node biopsy",

author = "Chagpar, {Anees B.} and Farid Kehdy and Scoggins, {Charles R.} and Martin, {Robert C G} and Carlson, {David J.} and Laidley, {Alison L.} and El-Eid, {Souzan E.} and McGlothin, {Terre Q.} and Noyes, {Robert D.} and Ley, {Phillip B.} and Tuttle, {Todd M.} and McMasters, {Kelly M.}",

year = "2005",

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doi = "10.1016/j.amjsurg.2005.06.010",

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AU - Kehdy, Farid

AU - Scoggins, Charles R.

AU - Martin, Robert C G

AU - Carlson, David J.

AU - Laidley, Alison L.

AU - El-Eid, Souzan E.

AU - McGlothin, Terre Q.

AU - Noyes, Robert D.

AU - Ley, Phillip B.

AU - Tuttle, Todd M.

AU - McMasters, Kelly M.

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N2 - Background: Sentinel lymph node (SLN) biopsy examination is an accepted method of staging breast cancer patients. SLN biopsy examination in patients with drainage to the internal mammary chain (IMC) nodes is controversial. Methods: A prospective study of SLN biopsy examination followed by axillary dissection was analyzed to determine how surgeons manage patients with IMC drainage and the rates of axillary SLN identification and positivity in these cases. Results: Lymphoscintigraphy was performed in 2196 (53.2%) of the 4131 patients in this study. IMC drainage was noted in 80 patients (3.6%). An axillary SLN was identified in 29 of the 40 patients with IMC drainage alone (72.5%). The rate of finding a positive axillary lymph node did not differ based on the lymphoscintigraphic pattern (P = .470). Conclusions: Most surgeons do not perform IMC SLN biopsy procedures. Even when lymphoscintigraphy shows isolated drainage to IMC nodes, axillary SLNs usually are identified. Lymphoscintigraphy therefore has limited usefulness.

AB - Background: Sentinel lymph node (SLN) biopsy examination is an accepted method of staging breast cancer patients. SLN biopsy examination in patients with drainage to the internal mammary chain (IMC) nodes is controversial. Methods: A prospective study of SLN biopsy examination followed by axillary dissection was analyzed to determine how surgeons manage patients with IMC drainage and the rates of axillary SLN identification and positivity in these cases. Results: Lymphoscintigraphy was performed in 2196 (53.2%) of the 4131 patients in this study. IMC drainage was noted in 80 patients (3.6%). An axillary SLN was identified in 29 of the 40 patients with IMC drainage alone (72.5%). The rate of finding a positive axillary lymph node did not differ based on the lymphoscintigraphic pattern (P = .470). Conclusions: Most surgeons do not perform IMC SLN biopsy procedures. Even when lymphoscintigraphy shows isolated drainage to IMC nodes, axillary SLNs usually are identified. Lymphoscintigraphy therefore has limited usefulness.

KW - Breast cancer

KW - Drainage

KW - Internal mammary

KW - Lymphoscintigraphy

KW - Sentinel node biopsy

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Effect of lymphoscintigraphy drainage patterns on sentinel lymph node biopsy in patients with breast cancer

Abstract

Bibliographical note

Keywords

UN SDGs

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