Preoperative localization of sentinel lymph node in breast cancer patients by silver wire insertion or liquid charcoal injection guided by CT lymphography.
Dual localization of SLN in breast cancer patients using isotope & dye is the best‐approved modality with limitations such as high cost of radioactive materials, complex logistic preparations & scheduling issues, especially in developing countries. We investigated the feasibility & accuracy of a nov...
| Published in: | Breast Journal Vol. 26; no. 4; pp. 617 - 625 |
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| Main Authors: | , , , , , , , |
| Format: | diagnostic images pictorial research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Apr2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142907076&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142907076 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1075122X ET6 jtl: Breast Journal issn: 1075122X maglogo: Y pubinfo: dt: Apr2020 vid: 26 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 142907076 142907076 145771532 142907076 10.1111/tbj.13511 142907076 ppf: 617 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Preoperative localization of sentinel lymph node in breast cancer patients by silver wire insertion or liquid charcoal injection guided by CT lymphography. aug: au: Hamdy, Omar El‐Badrawy, Adel Saleh, Gehad A. Metwally, Islam H. Abdelwahab, Khaled Farouk, Omar Denewer, Adel Setit, Ahmed affil: Surgical Oncology Unit, Oncology Center, Mansoura University, Mansoura, Egypt sug: subj: Preoperative Care Methods Breast Neoplasms Diagnosis Sentinel Lymph Node Biopsy Methods Charcoal Diagnostic Use Silver Diagnostic Use Human Charcoal Administration and Dosage Tomography, X-Ray Computed Methods Lymphography Methods Methylene Blue Diagnostic Use Descriptive Statistics ab: Dual localization of SLN in breast cancer patients using isotope & dye is the best‐approved modality with limitations such as high cost of radioactive materials, complex logistic preparations & scheduling issues, especially in developing countries. We investigated the feasibility & accuracy of a novel technique for SLN localization using silver wire insertion or liquid charcoal injection guided by CT lymphography. 120 patients with clinically node‐negative breast cancer were enrolled. In the test group, SLN was localized using preoperative CTLG guided injection of liquid charcoal or by placing a 3 cm silver wire. In addition, intraoperative SLN mapping was performed using methylene blue dye followed by searching for the SLN localized by both methods. In the control group, SLN was localized by the blue dye only. Feasibility, accuracy, detection rates, and number of SLNs retrieved were reported as well as matching between the LN detected with the CTLG and that detected with the dye technique. SLN could be detected in 59 out of 60 patients (98.3%) in the test group and in 54 out of 60 patients (90%) in the control group (P =.057). In self‐controlled analysis of the test group comparing CTLG only to dye only was significant (P =.050). Comparing charcoal to silver wire in detection was statistically insignificant (P =.5). This novel method can offer advantages which are as follows: being more accurate than the dye alone, saving operative time, abandoning complex logistic preparations for the radioisotope, and solving the problem of timing. pubtype: Academic Journal doctype: diagnostic images pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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