Rioja Martín M E, Ortega Pérez G, Cabañas Montero L J, Muñoz-Madero V, Cabañas Navarro L
Medicina Nuclear, Unidad de Patología Mamaria, M D Anderson Internacional España, Madrid, Spain.
Rev Esp Med Nucl. 2011 Jul-Aug;30(4):251-3. doi: 10.1016/j.remn.2010.07.008. Epub 2011 Mar 26.
Sentinel node biopsy has become the standard practice in lymph node staging in breast cancer in early stages. However, uncertainty remains regarding the best method of radiotracer/dye injection. Currently, the subareolar injection is being widely used because of its technical simplicity and higher rates of SN location versus the so-called deep techniques (peritumoral, intratumoral) that require greater specialization and greater use of resources in the non-palpable lesions. We present a case of a discrepancy between the two techniques that could have caused a false negative.
前哨淋巴结活检已成为早期乳腺癌淋巴结分期的标准做法。然而,关于放射性示踪剂/染料注射的最佳方法仍存在不确定性。目前,乳晕下注射因其技术简单以及与所谓的深部技术(瘤周、瘤内)相比前哨淋巴结定位率更高而被广泛应用,深部技术在不可触及病变中需要更高的专业水平和更多的资源投入。我们报告一例两种技术结果存在差异的病例,这种差异可能导致假阴性。