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Ann Ital Chir ; 88: 201-205, 2017.
Article in English | MEDLINE | ID: mdl-28874624

ABSTRACT

AIM: To assess the sentinel-node identification rate at lymphoscintigraphy and its technical feasibility after neo-adjuvant treatments. MATERIAL OF STUDY: Between 2000 and 2013, 444 consecutive patients affected by primary locally advanced breast cancer were enrolled in this study. All individuals were candidate for neo-adjuvant treatments and for lymphoscintigraphy before surgery. RESULTS: The median age was 44 years at onset; almost one sentinel node was identified during lymphoscintigraphy in 430 cases. The detection rate at lymphoscintigraphy was 96.9% (95% CI, 94.8-98.1%). Considering the correlation between specific treatments and sentinel node identification rate, we verified that the detection rate did not vary significantly (p=0.53) according to the type of neo-adjuvant therapies administered to the patients. CONCLUSIONS: Our results demonstrated that lymphoscintigraphy for sentinel node identification is a safe and feasible procedure after neo-adjuvant therapies, independently of treatment types. KEY WORDS: Breast Cancer, Neo-Adjuvant Treatment, Sentinel lymphnode biopsy, Lymphoscintigraphy.


Subject(s)
Antineoplastic Agents/therapeutic use , Breast Neoplasms/pathology , Lymphatic Metastasis/diagnostic imaging , Lymphoscintigraphy , Neoadjuvant Therapy , Sentinel Lymph Node/diagnostic imaging , Adolescent , Adult , Aged , Aged, 80 and over , Anthracyclines/administration & dosage , Anthracyclines/pharmacology , Antineoplastic Agents/pharmacology , Antineoplastic Agents, Hormonal/pharmacology , Antineoplastic Agents, Hormonal/therapeutic use , Antineoplastic Combined Chemotherapy Protocols/pharmacology , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Breast Neoplasms/surgery , Feasibility Studies , Female , Humans , Lymph Node Excision , Lymph Nodes/diagnostic imaging , Lymph Nodes/drug effects , Lymph Nodes/pathology , Middle Aged , Radiopharmaceuticals , Retrospective Studies , Taxoids/administration & dosage , Taxoids/pharmacology , Technetium Tc 99m Aggregated Albumin , Young Adult
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