Abstract:
BACKGROUND:Metastases to internal mammary lymph nodes (IMN) may occur in patients with breast cancer and may alter treatment recommendations. The purpose of this study was to identify the frequency of IMN drainage in patients undergoing breast lymphoscintigraphy and sentinel lymph node dissection (SLND). METHODS:The combined technique of peritumoral injection of radiocolloid and Lymphazurin blue for SLND was performed on 220 patients. All patients underwent preoperative lymphoscintigraphy before SLND. Lesion location by quadrant included: 110 upper outer (UOQ), 49 lower outer (LOQ), 30 upper inner (UIQ), 24 lower inner (LIQ), and 7 central. RESULTS:Drainage to any nodal basin was observed in 184 of 220 patients (84%). IMN drainage was documented in 37 of 220 (17%) of patients. IMN drainage without evidence of axillary drainage occurred in 2 of 220 patients(1%). Drainage to the IMN based on quadrant location of the lesion was as follows: UOQ, 10%; LOQ, 27%; UIQ, 17%; LIQ, 25%; and central, 29%. CONCLUSIONS:Internal mammary lymph node drainage shown by breast lymphoscintigraphy is common. Tumors in all quadrants may drain to IMNs, although drainage is significantly more common from quadrants other than the UOQ. Further studies are needed to determine whether lymphoscintigraphy drainage patterns identify patients at the highest risk for IMN metastases who may benefit from radiotherapy.
journal_name
Ann Surg Oncoljournal_title
Annals of surgical oncologyauthors
Byrd DR,Dunnwald LK,Mankoff DA,Anderson BO,Moe RE,Yeung RS,Schubert EK,Eary JFdoi
10.1007/s10434-001-0234-ykeywords:
subject
Has Abstractpub_date
2001-04-01 00:00:00pages
234-40issue
3eissn
1068-9265issn
1534-4681journal_volume
8pub_type
杂志文章abstract:OBJECTIVE:The aim of this study was to investigate whether patient satisfaction, as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, is associated with short-term outcomes after major cancer surgery. MATERIALS AND METHODS:We first used national Medicare claims to identi...
journal_title:Annals of surgical oncology
pub_type: 杂志文章
doi:10.1245/s10434-017-6049-2
更新日期:2017-11-01 00:00:00
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doi:10.1245/s10434-006-9109-6
更新日期:2006-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-12-01 00:00:00
abstract::The Editors of Annals of Surgical Oncology have retracted the following poster session abstract following an investigation by the authors' institution, which found that the study was not submitted to the IRB for approval. ...
journal_title:Annals of surgical oncology
pub_type: 已发布勘误,撤回出版物
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更新日期:2018-04-20 00:00:00
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更新日期:2016-10-01 00:00:00
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更新日期:2011-02-01 00:00:00
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更新日期:2009-05-01 00:00:00
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更新日期:2012-01-01 00:00:00
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更新日期:2015-04-01 00:00:00
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更新日期:2012-11-01 00:00:00
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更新日期:2020-11-11 00:00:00
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pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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更新日期:2012-05-01 00:00:00
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更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:1997-06-01 00:00:00
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journal_title:Annals of surgical oncology
pub_type: 杂志文章
doi:10.1245/s10434-008-0061-5
更新日期:2008-11-01 00:00:00
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journal_title:Annals of surgical oncology
pub_type: 杂志文章
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更新日期:2017-09-01 00:00:00
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journal_title:Annals of surgical oncology
pub_type: 杂志文章
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更新日期:2014-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-10-01 00:00:00
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