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1.
Biology (Basel) ; 13(1)2024 Jan 11.
Article in English | MEDLINE | ID: mdl-38248472

ABSTRACT

Parasites are very diverse and common in both natural populations and in stocks kept in aquacultural facilities. For most cultured species, there are important bacteria and viruses causing diseases, but eukaryotic parasites are also very important. We review the various combinations of aquacultured species and eukaryotic parasitic groups and discuss other problems associated with aquaculture such as eutrophication, zoonotic species, and invasive species, and we conclude that further development of aquaculture in a sustainable manner must include a holistic approach (One Health) where many factors (e.g., human health, food safety, animal health and welfare, environmental and biodiversity protection and marketability mechanisms, etc.) are considered.

2.
Zootaxa ; 5296(2): 265-274, 2023 May 26.
Article in English | MEDLINE | ID: mdl-37518445

ABSTRACT

The rock-dwelling cichlids from Lake Malawi, known as mbuna, comprise a diverse group of haplochromine fishes that are placed among 14 genera. Within the mbuna, Pseudotropheus is a polyphyletic genus, which has served as a catch-all for many of these fishes. Recently, many of the species-groups within Pseudotropheus have been elevated to separate genera. Herein, we describe an elongate form that was originally placed in the Pseudotropheus elongatus species group but is now described as a member of Metriaclima.


Subject(s)
Cichlids , Animals , Malawi , Lakes , Phylogeny
4.
Zootaxa ; 5052(3): 419-432, 2021 Oct 15.
Article in English | MEDLINE | ID: mdl-34810864

ABSTRACT

Metriaclima is the most speciose genus of rock-dwelling fishes (mbuna) found in Lake Malai with 32 described species and with about 40 recognized forms that still await formal description. The genus is comprised of many geographically narrow populations restricted to specific habitat landmarks, such as reefs or islands. A few species have taken to the open sandy habitat where empty gastropod shells provide shelter. Two species of such shell-dwellers are here described as new. A combination of a black submarginal band in the dorsal and anal fins and five or fewer bars on the flank distinguishes Metriaclima ngarae sp. n. and M. gallireyae sp. n. from all other species of Metriaclima. Metriaclima ngarae sp. n. differs from M. gallireyae by a greater interorbital width and by a greater ratio of the snout length in the distance between snout tip and pelvic fin origin. Adult males of M. gallireyae have a blue-brown overall coloration obscuring the bar pattern on the flank while males of M. ngarae and those of the closely related M. lanisticola retain the bar pattern and have a coloration very similar to that of females.


Subject(s)
Cichlids , Gastropoda , Africa , Animals , Ecosystem , Female , Lakes , Male
5.
Ecol Evol ; 11(9): 4605-4615, 2021 May.
Article in English | MEDLINE | ID: mdl-33976834

ABSTRACT

Cichlids inhabiting the Great Lakes of Africa have radiated extremely rapidly, with Lake Malawi harboring some 850 species. This rapid radiation may be linked to the diversity in behaviors, sexual selection, and phenotypic plasticity. To determine the relationships between morphology and behaviors, microcomputed tomography (microCT) was used to observe internal morphological structures. Observed morphological adaptations were linked with observed behavior of cichlids in Lake Malawi with respect to the various available food resources. Many of these adaptations have parallels, sometimes into the finest details, in other drainage systems and can thus be considered as variations of how cichlids in general respond to environmental opportunities and challenges. Variations in the structure and teeth of the pharyngeal jaws and the oral jaws allowed for fine tuning of specializations, so that various species can utilize the same source without direct competition. We suggested that high-resolution X-ray computed tomography will permit scientists to infer life history and behavior characters of rare or extinct taxa from a detailed examination of morphology and linkages between morphology and behavior found in extant species.

6.
Zootaxa ; 4908(1): zootaxa.4908.1.4, 2021 Jan 13.
Article in English | MEDLINE | ID: mdl-33756633

ABSTRACT

The present study describes Serranochromis alvum n. sp., Serranochromis swartzi n. sp., Serranochromis cuanza n. sp., and Serranochromis cacuchi n. sp. from Angolan tributaries of the Cuanza and Okavango systems in Angola. The presence of four or five scale rows between the posterior margin of the orbit and the ascending arm of the preoperculum, the presence of widely set unicuspid teeth on the jaws, widely separated gill rakers, and anal fins with egg ocelli place these four species in Serranochromis. The Serranochromis described herein are distinguishable based on a combination of morphological and meristic characters, as well as pigmentation patterns. The interorbital width (14.3-15.9 % HL) of S. alvum is narrower than that of S. swartzi (17.6-19.8), S. cuanza (16.3-18.0), and S. cacuchi (20.0-21.7). Moreover, the interorbital width of S. cacuchi is greater than the other three described species. Serranochromis swartzi has a smaller preorbital depth (16.2-18.9 % HL) and snout length (29.6-31.9 % HL) than Serranochromis cuanza (PD 19.1-22.2, SNL 35.2-39.6 % HL). Serranochromis alvum is known only from the type locality at Cuito-Cuanavale at the junction of the Cuito and Cuanavale rivers, tributary to the Okavango River in Angola. Serranochromis swartzi is known only from the type locality in the Cuanza River, Angola. Serranochromis cuanza is restricted to the Cuanza River, below Capanda Dam, Angola, while S. cacuchi is known only from the Cacuchi River, a tributary of the Cuchi-Cubango River in Angola. The limited distribution of all four species and the absence of many congeners suggest, that in addition to previous studies that invoked a lacustrine speciation model, vicariance through drainage isolation seems to have played an important role in driving speciation in this group. The minimum polygon clusters that are formed when the first principal components of the meristic data are plotted against the second sheared principal components of the morphometric data show separation of the four new species.


Subject(s)
Cichlids , Angola , Animals , Gills , Rivers
7.
Zootaxa ; 4903(2): zootaxa.4903.2.7, 2021 Jan 07.
Article in English | MEDLINE | ID: mdl-33757100

ABSTRACT

A species of haplochromine cichlid fish of the genus Diplotaxodon Trewavas, endemic to Lake Malawi is described: Diplotaxodon dentatus, new species. All eight type specimens were trawled together off Thumbi East Island in the Southeastern arm of the lake at 73 meters in 1985. They were initially identified as D. argenteus because the teeth on the oral jaws were fully exposed with a closed mouth. The shorter snout length of D. dentatus (26.6-29.2 % HL) clearly separates it from D. argenteus (31.7-34.2 % HL). A plot of a principal components analysis further supports the separation of D. dentatus from D. argenteus.


Subject(s)
Cichlids , Animals , Lakes , Malawi , Phylogeny
8.
Zootaxa ; 4858(1): zootaxa.4858.1.9, 2020 Sep 29.
Article in English | MEDLINE | ID: mdl-33056247

ABSTRACT

Serranochromis robustus robustus from Lake Malawi and Serranochromis robustus jallae from Zambia were compared using morphological data. We re-elevated S. robustus jallae to species based on the following. Serranochromis robustus generally has a longer lower jaw (50.7-59.6% HL) than S. jallae (49.2-52.7% HL). Serranochromis robustus is not as deep-bodied as S. jallae as evidenced by the distance between the posterior insertion of the dorsal fin and the posterior insertion of the anal fin (13.4-15.1% SL in S. robustus vs. 14.9-18.4% SL in S. jallae). Additionally, S. robustus has a narrower least caudal peduncle depth (10.9-12.8% SL) than S. jallae (11.3-14.2% SL); the least caudal peduncle depth of all S. robustus was less than 12.8% SL while, except for the smallest specimen of S. jallae (88.1 mm SL), the least caudal peduncle depth was greater than 13.2% SL. Adults in breeding color of Serranochromis robustus are blue/green laterally, while adults in breeding color of S. jallae are yellow/green laterally. The marginal bands on the dorsal and caudal fins of S. jallae are bright orange in specimens from the Okavango River system and creamy yellow in Upper Zambezi specimens. In S. robustus, there is a yellow marginal band on the dorsal fin.


Subject(s)
Catfishes , Cichlids , Animals , Rivers
9.
Zootaxa ; 4370(1): 95-100, 2018 Jan 09.
Article in English | MEDLINE | ID: mdl-29689858

ABSTRACT

A new species, Metriaclima koningsi, is described from Likoma and Maingano islands in Lake Malawi. The species is distinguished from other congeners, except Metriaclima usisyae Li, Konings Stauffer, by the absence of conspicuous bars along its flank and the presence of a dark submarginal band in the dorsal fin. Males of M. usisyae have gold coloured flanks, while males of M. koningsi have blue flanks.


Subject(s)
Cichlids , Animals , Lakes , Malawi , Male
10.
Zootaxa ; 4168(2): 353-381, 2016 Sep 15.
Article in English | MEDLINE | ID: mdl-27701342

ABSTRACT

Lake Malawi is known for its endemic haplochromine species flock, most notably the rock-dwelling cichlids known as mbuna. The group of mbuna referred to as the Pseudotropheus elongatus species group is currently comprised of Metriaclima spp., Tropheops spp., Cynotilapia spp., and Pseudotropheus spp. In this study, Chindongo, a new genus with the type species C. bellicosus, is described for additional species in this group. Chindongo is distinguished from other mbuna genera by 1) the presence of bicuspid teeth in the anterior portion of the outer row of both upper and lower jaw; 2) a moderately to steeply sloped vomer with a narrow rostral tip which makes an angle of between 53° and 68° with the parasphenoid; 3) a small mouth with the lower jaw slightly shorter than the upper; 4) a broad anterior dentigerous area on both premaxilla and dentary with three or more rows of teeth (usually 5-6 rows); 5) a flank melanin pattern consisting of vertical bars without horizontal elements at any stage of development. Chindongo bellicosus is distinguished by its color pattern and shallower body from the other species which we have transferred to Chindongo. We also describe six new elongate mbuna species and place them into three available genera, they include: Metriaclima flavicauda, M. usisyae, Tropheops kumwera, T. biriwera, T. kamtambo, and Cynotilapia chilundu.


Subject(s)
Cichlids/anatomy & histology , Cichlids/classification , Animal Distribution , Animal Structures/anatomy & histology , Animal Structures/growth & development , Animals , Body Size , Cichlids/growth & development , Ecosystem , Female , Lakes/analysis , Male , Organ Size
11.
Trends Parasitol ; 30(5): 217-20, 2014 May.
Article in English | MEDLINE | ID: mdl-24767270

ABSTRACT

Multiple anthropogenic environmental stressors with reinforcing effects to the deterioration of ecosystem stability can obscure links between ecosystem change and the prevalence of infectious diseases. Incomplete understanding may lead to ineffective public health and disease control strategies, as appears to be the case with increased urogenital schistosomiasis in humans around Lake Malawi over recent decades. Sedimentation and eutrophication help explain historical changes in intermediate host range and parasite transmission. Hence, control strategies should account for abiotic changes.


Subject(s)
Ecosystem , Lakes/parasitology , Population Growth , Schistosomiasis haematobia/epidemiology , Africa South of the Sahara/epidemiology , Animals , Climate Change , Host-Parasite Interactions , Humans , Prevalence
12.
Ecohealth ; 11(2): 251-4, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24136387

ABSTRACT

For the last 15 years, we have studied the relationships among cichlid snail-eating fishes, intermediate snail-host density, and the prevalence of human infection of Schistosoma haematobium in Lake Malawi and concluded that the increase of human infection is correlated with the decrease in snail-eating fishes in the shallow waters of the lake. We postulated that a strain of S. haematobium from other parts of Africa, which was introduced into the Cape Maclear region of Lake Malawi by tourists, was compatible with Bulinus nyassanus-which is a close relative of B. truncatus, and interbred with the indigenous strain of S. haematobium, which ultimately produced via introgression a strain that can use both B. globosus and B. nyassanus as intermediate hosts. This actively evolving situation involving intermediate snail-host switching and decline of Trematocranus placodon, a natural cichlid snail predator, will impact on transmission of urogenital schistosomiasis within the local communities and on tourists who visit Lake Malawi.


Subject(s)
Host-Parasite Interactions/genetics , Schistosoma haematobium/genetics , Schistosomiasis haematobia/transmission , Animals , Cichlids , Genetic Speciation , Humans , Lakes/parasitology , Malawi/epidemiology , Prevalence , Schistosoma haematobium/parasitology , Schistosomiasis haematobia/epidemiology , Schistosomiasis haematobia/parasitology , Snails
13.
Parasit Vectors ; 6: 142, 2013 May 16.
Article in English | MEDLINE | ID: mdl-23680382

ABSTRACT

BACKGROUND: The risks of fish-borne zoonotic trematodes (FZT) to human health constitute an important problem in Vietnam. The infection of humans with these trematodes, such as small liver trematodes (Clonorchis sinensis and Opisthorchis viverrini), intestinal trematodes (Heterophyidae) and others is often thought to be linked to fish culture in areas where the habit of eating raw fish is common. Juvenile fish produced in nurseries are often heavily infected with FZT and since fishes are sold to aquaculture facilities for growth, control of FZT in these fishes should be given priority. Controlling the first intermediate host (i.e., freshwater gastropods), would be an attractive approach, if feasible. The black carp, Mylopharyngodon piceus, is a well-known predator of freshwater snails and is already used successfully for biological control of snails in various parts of the world including Vietnam. Here we report the first trials using it for biological control of intermediate host snails in nursery ponds stocked with 1-week old fry (10-12 mm in length) of Indian carp, Labeo rohita. METHODS: Semi-field and field experiments were set up to test the effect of black carp on snail populations. In the semi-field experiment a known quantity of snails was initially introduced into a pond which was subsequently stocked with black carp. In the field trial in nursery ponds, density of snails was estimated prior to a nursing cycle and at the end of the cycle (after 9 weeks). RESULTS: The results showed that black carp affect the density of snail populations in both semi-field and field conditions. The standing crop of snails in nursery ponds, however, was too high for 2 specimens to greatly reduce snail density within the relatively short nursing cycle. CONCLUSIONS: We conclude that the black carp can be used in nursery ponds in Northern Vietnam for snail control. Juvenile black carp weighing 100 - 200 g should be used because this size primarily prey on intermediate hosts of FZT and other studies have shown that it does not prey on fish fry of other species. It may be necessary to use a high stocking density of black carp or to reduce snail density in the nursery ponds using other measures (e.g. mud removal) prior to stocking fry in order for the black carp to keep the density of intermediate host snails at a very low level.


Subject(s)
Cyprinidae/physiology , Fish Diseases/prevention & control , Pest Control, Biological/methods , Snails/growth & development , Trematode Infections/veterinary , Animals , Aquaculture/methods , Feeding Behavior , Population Density , Rivers , Snails/parasitology , Trematode Infections/prevention & control , Vietnam
14.
Zootaxa ; 3647: 101-36, 2013.
Article in English | MEDLINE | ID: mdl-26295101

ABSTRACT

Lake Malawi is known for its endemic haplochromine species flock, most notably the rock-dwelling cichlids known as mbuna. One of the larger genera of mbuna is Metriaclima, a group consisting of 31 described species (including the five described herein) and approximately 45 recognized unique populations. Metriaclima is diagnosed by its feeding behavior and several morphological characteristics including the angle of the vomer and the presence of bicuspid teeth in the outer row of both the upper and lower jaws. Metriaclima zebra, the type species for the genus, was described based on a single specimen. While the collection location of this holotype is not known, based on the travel records of its collector, it is likely that the specimen originated from Likoma Island. The holotype was therefore compared to specimens from several localities around this island and was found to be morphologically indistinguishable from some of these. This study includes the morphological analysis of 496 specimens of Metriaclima belonging to 31 collections from Lake Malawi. Morphometric differences were analyzed and the relationships among several distinguishable populations of Metriaclima zebra were investigated. Our study further resulted in the description of the following five new species belonging to the M. zebra species complex: M. pambazuko, M. lundoense, M. midomo, M. tarakiki, and M. nigrodorsalis. These species were distinguished and described based on color patterns, morphometric, meristic, and ecological differences. These new species were compared with and distinguished from nearby populations of Metriaclima having similar pigmentation patterns and/or similar ecological niches. An artificial dichotomous key to the described species of Metriaclima is presented.


Subject(s)
Cichlids/anatomy & histology , Cichlids/classification , Lakes , Animal Distribution , Animals , Cichlids/physiology , Female , Malawi , Male , Species Specificity
15.
Ecohealth ; 8(2): 163-76, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21598059

ABSTRACT

Historically, open shorelines of Lake Malawi were free from schistosome, Schistosoma haematobium, transmission, but this changed in the mid-1980s, possibly as a result of over-fishing reducing density of molluscivore fishes. Very little information is available on schistosome infections among people in lake-shore communities and therefore we decided to summarise data collected from 1998 to 2007. Detailed knowledge of the transmission patterns is essential to design a holistic approach to schistosomiasis control involving the public health, fisheries and tourism sectors. On Nankumba Peninsula, in the southern part of the lake, inhabitants of villages located along the shores of Lake Malawi have higher prevalence of S. haematobium infection than those living in inland villages. Overall prevalence (all age classes combined) of urinary schistosomiasis in 1998/1999 ranged from 10.2% to 26.4% in inland villages and from 21.0% to 72.7% in lakeshore villages; for school children prevalence of infection ranged from 15.3% to 57.1% in inland schools and from 56.2% to 94.0% in lakeshore schools. Inhabitants on the islands, Chizumulu and Likoma, also have lower prevalence of infection than those living in lakeshore villages on Nankumba Peninsula. This increased prevalence in lakeshore villages is not necessarily linked to transmission taking place in the lake itself, but could also be due to the presence of more numerous typical inland transmission sites (e.g., streams, ponds) being close to the lake. Temporal data witness of intense transmission in some lakeshore villages with 30-40% of children cleared from infection becoming reinfected 12 months later (also lakeshore village). The level of S. mansoni infection is low in the lakeshore communities. Findings are discussed in relation to fishing in the lake.


Subject(s)
Bulinus/parasitology , Schistosoma haematobium/pathogenicity , Schistosomiasis haematobia/epidemiology , Adolescent , Adult , Africa South of the Sahara/epidemiology , Age Factors , Animals , Child , Child, Preschool , Fishes , Food Parasitology , Host-Parasite Interactions , Humans , Lakes/parasitology , Prevalence , Schistosomiasis haematobia/diagnosis , Schistosomiasis haematobia/transmission , Young Adult
16.
Environ Toxicol Chem ; 30(4): 915-9, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21191884

ABSTRACT

Embryos of oviparous organisms are exposed to contaminants by two pathways: contaminant uptake from the surrounding environment, and the transfer from female to offspring (maternal transfer). The initial source of contaminant exposure for most embryos is likely to be maternal transfer; therefore, maternal transfer studies are critical in determining the effects of contaminants on future populations. Injection of contaminants directly into eggs is one route of experimental contaminant exposure that permits controlled doses and potential reliable replication. This technique, however, has been used in the past with little success in reptiles. The objective of the present study was to evaluate egg injection as a means of mimicking maternal transfer of polychlorinated biphenyls (PCBs) to snapping turtle eggs. Eggs from several clutches were injected with a PCB solution and incubated at several temperatures and moisture levels to measure interactive effects of injection, environmental condition, and contaminant load on hatching success. The injection technique allowed for application of consistent and specific doses among replicates. Overall hatching success in this study was 61% and was as high as 71% within specific treatments. Hatching success was much higher in this study than in other studies using egg injections to mimic maternal transfer in chelonians and crocodilians.


Subject(s)
Environmental Pollutants/toxicity , Ovum/drug effects , Polychlorinated Biphenyls/toxicity , Toxicity Tests/methods , Turtles/embryology , Animals , Embryo, Nonmammalian/drug effects , Environmental Pollutants/administration & dosage , Female , Injections , Maternal Exposure , Polychlorinated Biphenyls/administration & dosage
17.
Ecohealth ; 8(2): 177-89, 2011 Jun.
Article in English | MEDLINE | ID: mdl-22231863

ABSTRACT

From the mid-1980s, we recorded a significant increase in urinary schistosomiasis infection rate and transmission among inhabitants of lakeshore communities in the southern part of Lake Malawi, particularly on Nankumba peninsula in Mangochi District. We suggested that the increase was due to over-fishing, which reduced the density of snail-eating fishes, thereby allowing schistosome intermediate host snails to increase to higher densities. In this article, we collected data to test this hypothesis. The density of both Bulinus nyassanus, the intermediate host of Schistosoma haematobium, and Melanoides spp. was negatively related to density of Trematocranus placodon, the most common of the snail-eating fishes in the shallow water of Lake Malawi. Both these snails are consumed by T. placodon. Transmission of S. haematobium through B. nyassanus only occurs in the southern part of the lake and only at villages where high density of the intermediate host is found relatively close to the shore. Thus, we believe that implementation of an effective fish ban up to 100-m offshore along these specific shorelines in front of villages would allow populations of T. placodon to increase in density and this would lead to reduced density of B. nyassanus and possibly schistosome transmission. To reduce dependence on natural fish populations in the lake and still maintain a source of high quality food, culture of indigenous fishes may be a viable alternative.


Subject(s)
Bulinus/parasitology , Cichlids , Schistosomiasis haematobia/epidemiology , Africa South of the Sahara/epidemiology , Animals , Food Parasitology , Host-Parasite Interactions , Humans , Lakes/parasitology , Population Density , Prevalence , Schistosomiasis haematobia/parasitology , Schistosomiasis haematobia/transmission
18.
Plant J ; 50(4): 649-59, 2007 May.
Article in English | MEDLINE | ID: mdl-17425722

ABSTRACT

Maize has a complex root system composed of different root types formed during different stages of development. The rtcs (rootless concerning crown and seminal roots) mutant is impaired in the initiation of the embryonic seminal roots and the post-embryonic shoot-borne root system. The primary root of the mutant shows a reduced gravitropic response, while its elongation, lateral root density and reaction to exogenously applied auxin is not affected. We report here the map-based cloning of the RTCS gene which encodes a 25.5 kDa LOB domain protein located on chromosome 1S. The RTCS gene has been duplicated during evolution. The RTCS-LIKE (RTCL) gene displays 72% sequence identity on the protein level. Both genes are preferentially expressed in roots. Expression of RTCS in coleoptilar nodes is confined to emerging shoot-borne root primordia. Sequence analyses of the RTCS and RTCL upstream genomic regions identified auxin response elements. Reverse transcriptase-PCR revealed that both genes are auxin induced. Microsynteny analyses between maize and rice genomes revealed co-linearity of 14 genes in the RTCS region. We conclude from our data that RTCS and RTCL are auxin-responsive genes involved in the early events that lead to the initiation and maintenance of seminal and shoot-borne root primordia formation.


Subject(s)
Genes, Plant , Genes, Regulator , Plant Proteins/genetics , Plant Roots/growth & development , Plant Shoots/growth & development , Zea mays/genetics , Alleles , Cloning, Molecular , Gene Expression Regulation, Plant , In Situ Hybridization , Molecular Sequence Data , Oryza/genetics , Phylogeny , Reverse Transcriptase Polymerase Chain Reaction , Zea mays/embryology , Zea mays/growth & development
19.
J Clin Oncol ; 23(12): 2694-702, 2005 Apr 20.
Article in English | MEDLINE | ID: mdl-15837984

ABSTRACT

PURPOSE: Experience with sentinel node biopsy (SNB) after neoadjuvant chemotherapy is limited. We examined the feasibility and accuracy of this procedure within a randomized trial in patients treated with neoadjuvant chemotherapy. PATIENTS AND METHODS: During the conduct of National Surgical Adjuvant Breast and Bowel Project trial B-27, several participating surgeons attempted SNB before the required axillary dissection in 428 patients. All underwent lymphatic mapping and an attempt to identify and remove a sentinel node. Lymphatic mapping was performed with radioactive colloid (14.7%), with lymphazurin blue dye alone (29.9%), or with both (54.7%). RESULTS: Success rate for the identification and removal of a sentinel node was 84.8%. Success rate increased significantly with the use of radioisotope (87.6% to 88.9%) versus with the use of lymphazurin alone (78.1%, P = .03). There were no significant differences in success rate according to clinical tumor size, clinical nodal status, age, or calendar year of random assignment. Of 343 patients who had SNB and axillary dissection, the sentinel nodes were positive in 125 patients and were the only positive nodes in 70 patients (56.0%). Of the 218 patients with negative sentinel nodes, nonsentinel nodes were positive in 15 (false-negative rate, 10.7%; 15 of 140 patients). There were no significant differences in false-negative rate according to clinical patient and tumor characteristics, method of lymphatic mapping, or breast tumor response to chemotherapy. CONCLUSION: These results are comparable to those obtained from multicenter studies evaluating SNB before systemic therapy and suggest that the sentinel node concept is applicable following neoadjuvant chemotherapy.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Lymph Node Excision , Sentinel Lymph Node Biopsy , Adult , Aged , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Axilla , Breast Neoplasms/surgery , Colloids , Cyclophosphamide/administration & dosage , Docetaxel , Doxorubicin/administration & dosage , False Negative Reactions , Female , Humans , Middle Aged , Neoadjuvant Therapy , Rosaniline Dyes , Taxoids/administration & dosage
20.
Ann Surg Oncol ; 9(3): 243-7, 2002 Apr.
Article in English | MEDLINE | ID: mdl-11923130

ABSTRACT

BACKGROUND: Sentinel lymph node mapping (SLNM) and neoadjuvant chemotherapy are becoming established components of therapy for selected patients with breast carcinoma. However, neoadjuvant therapy has been considered a relative contraindication to SLNM. In an effort to learn whether patients who have received preoperative chemotherapy can undergo accurate SLNM, we evaluated our experience with this technique. METHODS: From January 1997 to June 2000, SLNM and axillary lymph node dissection were concurrently performed in 35 patients who received preoperative chemotherapy. Mapping was performed with (99m)Tc sulfur colloid only in one patient and Lymphazurin dye only in 15 patients, and the two methods were combined in the remainder. RESULTS: SLNM successfully identified a sentinel lymph node in 30 (86%) patients. Metastatic disease was identified in the sentinel lymph nodes of four patients during surgery. The intraoperative pathologic diagnosis proved to be correct in 19 (79%) of 24 patients. The final pathologic diagnosis of the sentinel lymph node reflected the status of the axillary contents in all patients in whom it was identified. CONCLUSIONS: These results demonstrate that SLNM can be consistently performed in patients receiving preoperative chemotherapy for breast cancer, suggesting the utility of this technique in this patient population.


Subject(s)
Antineoplastic Agents/therapeutic use , Breast Neoplasms/drug therapy , Breast Neoplasms/pathology , Sentinel Lymph Node Biopsy , Case-Control Studies , Female , Humans , Mastectomy, Segmental , Neoadjuvant Therapy , Patient Selection , Sensitivity and Specificity
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