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Valhondo-Rama R, Wakfie-Corieh C, Rodríguez Gallo E, Pérez-Castejón M, Brenes Sánchez J, Herrera de la Muela M, Carreras-Delgado J. Contralateral axillary sentinel lymph node drainage in breast cancer: Controversies and management according to the literature. A case report. Rev Esp Med Nucl Imagen Mol 2019. [DOI: 10.1016/j.remnie.2018.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Valhondo-Rama R, Wakfie-Corieh CG, Rodríguez Gallo EA, Pérez-Castejón MJ, Brenes Sánchez JM, Herrera de la Muela M, Carreras-Delgado JL. Contralateral axillary sentinel lymph node drainage in breast cancer: Controversies and management according to the literature. A case report. Rev Esp Med Nucl Imagen Mol 2019; 38:316-319. [PMID: 30723043 DOI: 10.1016/j.remn.2018.11.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 11/05/2018] [Accepted: 11/08/2018] [Indexed: 11/25/2022]
Abstract
Lymphoscintigraphy in breast cancer usually shows lymphatic drainage to the ipsilateral axilla. Drainage to extraaxillary or contralateral axillary regions is rare and there is still controversy about its management. Due to the significant clinical impact of an accurate staging, a literature research is made based on a case of a patient with recurrence of left breast cancer with contralateral axillary sentinel lymph node detection, without evidence of lymphatic drainage to other locations.
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Affiliation(s)
- R Valhondo-Rama
- Servicio de Medicina Nuclear, Hospital Clínico San Carlos, Madrid, España.
| | - C G Wakfie-Corieh
- Servicio de Medicina Nuclear, Hospital Clínico San Carlos, Madrid, España
| | | | - M J Pérez-Castejón
- Servicio de Medicina Nuclear, Hospital Clínico San Carlos, Madrid, España
| | - J M Brenes Sánchez
- Unidad de Patología Mamaria, Servicio de Ginecología y Obstetricia, Hospital Clínico San Carlos, Madrid, España
| | - M Herrera de la Muela
- Unidad de Patología Mamaria, Servicio de Ginecología y Obstetricia, Hospital Clínico San Carlos, Madrid, España
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Nieves Maldonado S, Pubul Núñez V, Argibay Vázquez S, Macías Cortiñas M, Ruibal Morell Á. Axillary web syndrome following sentinel node biopsy for breast cancer. Rev Esp Med Nucl Imagen Mol 2016. [DOI: 10.1016/j.remnie.2016.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Nieves Maldonado SM, Pubul Núñez V, Argibay Vázquez S, Macías Cortiñas M, Ruibal Morell Á. Axillary web syndrome following sentinel node biopsy for breast cancer. Rev Esp Med Nucl Imagen Mol 2016; 35:325-8. [PMID: 27246290 DOI: 10.1016/j.remn.2016.04.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Revised: 04/08/2016] [Accepted: 04/18/2016] [Indexed: 11/16/2022]
Abstract
A 49 year-old woman diagnosed with infiltrating lobular breast carcinoma, underwent a right mastectomy and sentinel node biopsy (SLNB). The resected sentinel lymph nodes were negative for malignancy, with an axillary lymphadenectomy not being performed. In the early post-operative period, the patient reported an axillary skin tension sensation, associated with a painful palpable cord. These are typical manifestations of axillary web syndrome (AWS), a poorly known axillary surgery complication, from both invasive and conservative interventions. By presenting this case we want to focus the attention on a pathological condition, for which its incidence may be underestimated by not including it in SLNB studies. It is important for nuclear medicine physicians to be aware of AWS as a more common complication than infection, seroma, or lymphoedema, and to discuss this possible event with the patient who is consenting to the procedure.
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Affiliation(s)
- S M Nieves Maldonado
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España.
| | - V Pubul Núñez
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - S Argibay Vázquez
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - M Macías Cortiñas
- Servicio de Servicio de Ginecología y Obstetricia, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España
| | - Á Ruibal Morell
- Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España
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Uçmak Vural G, Şahiner I, Demirtaş S, Efetürk H, Demirel BB. Sentinel Lymph Node Detection in Contralateral Axilla at Initial Presentation of a Breast Cancer Patient: Case Report. Mol Imaging Radionucl Ther 2015; 24:90-3. [PMID: 26316476 PMCID: PMC4563177 DOI: 10.4274/mirt.91300] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
The main basin for breast lymphatic drainage is ipsilateral axilla. However, extra-axillary drainage may be seen in some patients. The most common extra-axillary site is internal mammary chain, while contralateral axillary drainage is an extremely rare situation in previously untreated patients. We describe a case of untreated right breast retroareolar carcinoma with contralateral axillary drainage detected on preoperative lymphoscintigraphy. Contralateral axillary dissection was performed based on the result of frozen section examination of the sentinel lymph node (SLN) which turned out to burden micrometastasis. Postoperative histopathological examination revealed invasive ductal carcinoma metastasis in 17 out of 22 lymph nodes from the ipsilateral axillary dissection, whereas 14 lymph nodes from contralateral axillary dissection other than the SLN were nonmetastatic. In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.
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Affiliation(s)
| | - Ilgın Şahiner
- Ankara Oncology Hospital, Clinic of Nuclear Medicine, Ankara, Turkey Phone: +90 312 336 09 09 E-mail:
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Argibay S, Nieves S, Garrido M, Pubul V, Rial P, Sanmartin L. Contralateral axillary drainage in a breast cancer patient without previous surgery history: An unusual pathway. Rev Esp Med Nucl Imagen Mol 2014. [DOI: 10.1016/j.remnie.2014.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Argibay S, Nieves SM, Garrido M, Pubul V, Rial P, Sanmartin L. Contralateral axillary drainage in a breast cancer patient without previous surgery history: an unusual pathway. Rev Esp Med Nucl Imagen Mol 2014; 33:318-9. [PMID: 24529813 DOI: 10.1016/j.remn.2013.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2013] [Revised: 11/29/2013] [Accepted: 11/30/2013] [Indexed: 12/01/2022]
Affiliation(s)
- S Argibay
- Department of Nuclear Medicine, Hospital Clínico Universitario, Santiago de Compostela, Spain.
| | - S M Nieves
- Department of Nuclear Medicine, Hospital Clínico Universitario, Santiago de Compostela, Spain
| | - M Garrido
- Department of Nuclear Medicine, Hospital Clínico Universitario, Santiago de Compostela, Spain
| | - V Pubul
- Department of Nuclear Medicine, Hospital Clínico Universitario, Santiago de Compostela, Spain
| | - P Rial
- Department of Radiology, Hospital do Barbanza, Riveira, La Coruña, Spain
| | - L Sanmartin
- Department of Ginecology, Hospital Clínico Universitario, Santiago de Compostela, Spain
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Lizarraga IM, Scott-Conner CEH, Muzahir S, Weigel RJ, Graham MM, Sugg SL. Management of Contralateral Axillary Sentinel Lymph Nodes Detected on Lymphoscintigraphy for Breast Cancer. Ann Surg Oncol 2013; 20:3317-22. [DOI: 10.1245/s10434-013-3151-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2013] [Indexed: 02/06/2023]
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Vicente JS, Grande MLD, Barquero CD, Torre JI, Bernardo LG, Madrid JIR, Antúnez MIC. Bilateral axillary and internal mammary drainage in breast cancer without prior surgery during sentinel node mapping. Indian J Nucl Med 2013; 26:205-7. [PMID: 23559720 PMCID: PMC3613631 DOI: 10.4103/0972-3919.106716] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Lymphatic drainage outside the ipsilateral axilla in breast cancer is discovered in as many as 25% of all sentinel lymph node procedures and it is evidenced by lymphoscintigraphy. Contralateral axillary drainage is a rare clinical situation, mostly if there is not prior breast surgery, but this situation is extremely exceptional if we also found internal mammary chain drainage. We have not found such a case published in literature. This atypical finding is source of doubts because it could have clinical implications in the management of patients. We present a woman just diagnosed of breast carcinoma with hot nodes in bilateral axillary and ipsilateral internal mammary chain lymph nodes, shown by preoperative lymphoscintigraphy. We review published cases with contralateral axillary drainage, which enhance the role of scintigraphic procedure in such cases and show induced controversies in selecting the most adequate management.
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Blanco I, Díaz D, Moriyón C, Santamaría L, Díez M, López M, Padín H, Cantero F, Artime S, Domínguez F, Aira F, Álvarez-Obregón R. Biopsia de ganglio centinela en pacientes con cáncer de mama y cirugía mamaria previa. ACTA ACUST UNITED AC 2011; 30:223-8. [DOI: 10.1016/j.remn.2011.03.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2011] [Revised: 03/03/2011] [Accepted: 03/08/2011] [Indexed: 02/06/2023]
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