Lymphoscintigraphic SPECT/CT localization of a sentinel node in an unusual position: Rotter's node.
A 57-year-old woman with infiltrating ductal carcinoma of the right breast underwent lymph node scintigraphy with Tc-99m-nanocolloid for preoperative sentinel node localization. On planar images, an unusual pattern of lymphatic drainage was observed. We performed a chest SPECT/CT, revealing an interpectoral sentinel node, ie, Rotter's node. The patient underwent radioguided surgery and the sentinel node was located intraoperatively, and found to be disease-free. SPECT/CT fusion techniques have enhanced precision in locating sentinel nodes, enabling the surgeon to shorten surgical times.
Andrés
Alejandro
A
Department of Nuclear Medicine, University Hospital, Lozano Blesa, Zaragoza, Spain. alejandronuclear@gmail.com
Tardín
Leticia
L
Razola
Paula
P
Santapau
Albert
A
Prats
Enrique
E
Sousa
Ramon
R
García
Fausto
F
Banzo
Javier
J
D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D044584:Carcinoma, Ductal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging* / Q000473:pathology; D008875:Middle Aged; D016634:Radiosurgery; D013668:Technetium Tc 99m Aggregated Albumin; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed
D013668:Technetium Tc 99m Aggregated Albumin; C083602:technetium Tc 99m nanocolloid