Reoperative sentinel lymph node biopsy for ipsilateral breast tumor recurrence after previous axillary lymph node dissection: report of a case.
Sentinel lymph node biopsy has become a standard component of the evaluation of early-stage breast cancer, with a gradually increasing number of indications in this patient population. This report presents the case of a patient who underwent reoperative sentinel lymph node biopsy as part of an evaluation of ipsilateral breast tumor recurrence; she had previously undergone axillary lymph node dissection. Preoperative lymphoscintigraphy showed aberrant lymphatic drainage, and all three sentinel lymph nodes were positive for cancer. Although the optimal management of regional lymph nodes in patients with ipsilateral breast tumor recurrence who have already undergone axillary lymph node dissection has not been established, reoperative sentinel lymph node biopsy in this setting may therefore potentially enable the identification of subclinical, aberrantly located nodal metastasis.
Department of Breast Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, Japan.
Masaya
M
Hattori
Seiichiro
S
Nishimura
Keiichiro
K
Tada
Masamichi
M
Koyama
Futoshi
F
Akiyama
Yoshinori
Y
Ito
Takuji
T
Iwase
D001365:Axilla; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis / Q000175:diagnosis*; D008875:Middle Aged; D011877:Radionuclide Imaging; D012086:Reoperation; D021701:Sentinel Lymph Node Biopsy
J Clin Oncol. 2006 May 1;24(13):2028-37
16648502
Eur J Surg Oncol. 2005 Oct;31(8):840-4
16009528
Eur J Surg Oncol. 2008 Apr;34(4):365-8
17532172
Clin Breast Cancer. 2006 Aug;7(3):248-53
16942642
N Engl J Med. 1995 Nov 30;333(22):1456-61
7477145
Breast J. 2006 Sep-Oct;12(5 Suppl 2):S181-90
16958999
J Am Coll Surg. 2002 Aug;195(2):167-72
12168962
Surg Today. 2008;38(7):585-91
18612781
J Clin Oncol. 2006 Jul 20;24(21):3374-80
16849751
J Clin Oncol. 2005 Apr 20;23(12):2694-702
15837984
Surg Today. 2009;39(5):374-80
19408073
Ann Surg Oncol. 2007 Aug;14(8):2209-14
17268882
Ann Surg Oncol. 2006 Jan;13(1):52-7
16372155
Clin Nucl Med. 2004 Nov;29(11):698-702
15483481
Ann Surg Oncol. 2005 Nov;12(11):895-9
16195833
Ann Surg Oncol. 2006 Aug;13(8):1099-104
16791446