title: Axillary reverse mapping using 99mTc-SC: a case illustration.
abstract: Lymphedema is a common complication in breast carcinoma patients undergoing axillary lymph node dissection. Although there is a significant reduction in the lymphedema rate with sentinel lymph node biopsy compared to axillary lymph node dissection, there is some risk after sentinel lymph node biopsy. Axillary reverse mapping, an emerging concept aims at identifying and preserving the draining lymph node of the arm that is invariably devoid of malignancy. This concept if validated may prevent lymphedema in breast carcinoma patients. Axillary reverse mapping node can be identified using a radiotracer or blue dye. We describe the procedure using filtered Tc-SC.
authors.affiliation: From the Departments of *Nuclear Medicine & PET CT, and †Surgical Oncology,Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
authors.forename: Sunny J
authors.initials: SJ
authors.lastname: Gandhi
authors.forename: C
authors.initials: C
authors.lastname: Satish
authors.forename: P
authors.initials: P
authors.lastname: Shanmuga Sundaram
authors.forename: Padma
authors.initials: P
authors.lastname: Subramanyam
authors.forename: D K
authors.initials: DK
authors.lastname: Vijaykumar
mesh_terms: D000368:Aged; D001365:Axilla; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D008209:Lymphedema / Q000000981:diagnostic imaging* / Q000473:pathology; D019275:Radiopharmaceuticals; D013671:Technetium Tc 99m Sulfur Colloid; D014055:Tomography, Emission-Computed
chemical_list: D019275:Radiopharmaceuticals; D013671:Technetium Tc 99m Sulfur Colloid