title: Computed tomographic lymphography for sentinel lymph node biopsy in male breast cancer: report of two cases.
abstract: Male breast cancer is rare, accounting for less than 1% of breast cancers. Because of its rarity evidence of the usefulness sentinel lymph node biopsy (SLNB) for male breast cancer has not been established. Moreover, a navigation system which can easily determine the incision site of SLNB is needed because a second incision for SLNB is necessary in most cases. We report successful computed tomographic lymphography (CTLG)-guided SLNB in two male breast cancer cases: the first patient was a 79-year-old man and the second was a 64-year-old man. Both had presented with a lump behind the nipple. Clinical diagnoses were early breast carcinoma in both cases. The second patient took tamoxifen 20 mg daily as neoadjuvant endocrine therapy. SLNs were clearly visualized by CTLG, allowing mastectomies with SLNB to be performed. Both SLNB were negative, such that axillary lymph node dissection was not needed. Preoperative CTLG is useful for visualizing lymph flow and detecting SLN in male breast cancer.
authors: Department of Surgery, Aomori Prefectural Central Hospital, Aomori, Japan.
authors: Naoki
authors: N
authors: Hashimoto
authors: Yurie
authors: Y
authors: Kudo
authors: Michihiro
authors: M
authors: Kurushima
authors: Yamato
authors: Y
authors: Suzuki
authors: Takafumi
authors: T
authors: Yachi
authors: Tomohisa
authors: T
authors: Tokura
authors: Yutaka
authors: Y
authors: Umehara
authors: Shinsuke
authors: S
authors: Nishikawa
authors: Kenichi
authors: K
authors: Takahashi
authors: Takayuki
authors: T
authors: Morita
authors: Fumiko
authors: F
authors: Narita
keywords: Computed tomographic lymphography; Male breast cancer; Sentinel lymph node biopsy
references: J Med Invest. 2007 Feb;54(1-2):1-18
references: 17380009
references: Oncologist. 2007 May;12(5):512-5
references: 17522237
references: Surg Endosc. 2008 Feb;22(2):392-7
references: 17522921
references: J Am Coll Surg. 2006 Oct;203(4):475-80
references: 17000390
references: Cancer. 2002 May 15;94(10):2542-51
references: 12173319
references: J Clin Oncol. 2005 Oct 20;23(30):7703-20
references: 16157938
references: J Surg Oncol. 2007 Sep 15;96(4):322-9
references: 17879334
references: Nucl Med Commun. 2004 Feb;25(2):139-43
references: 15154702
references: Clin Breast Cancer. 2006 Dec;7(5):406-10
references: 17239266
references: Breast. 2008 Feb;17(1):8-11
references: 17870535
references: JAMA. 2011 Feb 9;305(6):569-75
references: 21304082
references: J Am Coll Surg. 2008 Apr;206(4):616-21
references: 18387465
references: Breast Cancer. 2007;14(4):342-9
references: 17986798
references: Eur J Surg Oncol. 2004 Jun;30(5):480-3
references: 15135473
references: Cancer. 2005 Dec 1;104(11):2359-64
references: 16270318
references: Surg Today. 2011 Jun;41(6):837-40
references: 21626333
references: Oncol Rep. 2007 Jun;17(6):1475-80
references: 17487407
references: Surgery. 2003 Feb;133(2):170-9
references: 12605178
references: Eur J Gynaecol Oncol. 2012;33(3):255-6
references: 22873093
references: Br J Cancer. 1992 Feb;65(2):252-4
references: 1739625
references: Surgery. 2004 Mar;135(3):258-65
references: 14976475
references: Lancet. 2006 Feb 18;367(9510):595-604
references: 16488803
references: J Surg Oncol. 2004 May 1;86(2):74-7
references: 15112248