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Journals / Molecular Imaging and Radionuclide Therapy / 2015 / Cilt: 24 - Sayı: 2

Meme Karsinomlu Olguda Preoperatif Lenfosintigrafi ile Kontralateral Aksiller Drenajın Gösterilmesi: Olgu Sunumu

Sentinel Lymph Node Detection in Contralateral Axilla at Initial Presentation of a Breast Cancer Patient: Case Report

Gülin VURAL UÇMAK
Ilgın ŞAHİNER
Semra DEMİRTAŞ
Hülya EFETÜRK
Bedriye Büşra DEMİREL
Pages
90–93
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The main basin for breast lymphatic drainage is ipsilateral axilla.
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Key Findings & Data:Postoperative histopathological examination revealed invasive ductal carcinoma metastasis in 17 out of 22 lymph nodes from the ipsilateral axillary dissection, whereas 14 lymph nodes from contralateral axillary dissection other than the SLN were nonmetastatic.
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Conclusion & Impact:In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The main basin for breast lymphatic drainage is ipsilateral axilla. However, extra-axillary drainage may be seen in some patients. The most common extra-axillary site is internal mammary chain, while contralateral axillary drainage is an extremely rare situation in previously untreated patients. We describe a case of untreated right breast retroareolar carcinoma with contralateral axillary drainage detected on preoperative lymphoscintigraphy. Contralateral axillary dissection was performed based on the result of frozen section examination of the sentinel lymph node (SLN) which turned out to burden micrometastasis. Postoperative histopathological examination revealed invasive ductal carcinoma metastasis in 17 out of 22 lymph nodes from the ipsilateral axillary dissection, whereas 14 lymph nodes from contralateral axillary dissection other than the SLN were nonmetastatic. In our opinion, determination of contralateral axillary metastasis in primary staging process had a major contribution to the management of the patient.

Özet

Memenin lenfatik drenajı ilk olarak ipsilateral aksillaya olmakla birlikte, bazı hastalarda aksilla-dışı drenaj paterni izlenebilmektedir. En sık izlenen aksilla-dışı odak internal mammarian zincir olup, karşı aksillaya drenaj, önceden cerrahi girişim geçirmemiş hastalarda, çok nadir gözlenen bir durumdur. Bu çalışmada yeni tanı sağ meme retroareolar karsinomlu hastada, preoperatif dönemde yapılan lenfosintigrafide kontralateral aksillaya drenaj sunulmaktadır. Hastaya, cerrahi sırasında karşı taraf sentinel lenf nodunda frozen incelemesi sonucu mikrometastaz tespit edilmesi nedeniyle, kontralateral aksiller diseksiyon yapılmıştır. Postoperatif histopatolojik incelemeler ipsilateral aksiller diseksiyonda çıkarılan 22 lenf nodunun 17’sinde invaziv duktal karsinom metastazını göstermiştir. Kontralateral aksillada ise, sentinel lenf nodu dışında çıkarılan 14 lenf nodunun hiçbirinde metastaz saptanmamıştır. Bu olguda, primer evreleme sürecinde karşı taraf aksillaya olan metastazın saptanmasının hastanın tedavi planına büyük katkı sağladığını düşünmekteyiz.

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Cite This Article

UÇMAK, G. V., ŞAHİNER, I., DEMİRTAŞ, S., EFETÜRK, H., DEMİREL, B. B. (2015). Meme Karsinomlu Olguda Preoperatif Lenfosintigrafi ile Kontralateral Aksiller Drenajın Gösterilmesi: Olgu Sunumu. Molecular Imaging and Radionuclide Therapy, Cilt: 24 - Sayı: 2, 90–93. https://ajindex.com/articles/295181

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