Beniey Michèle, Boulva Kerianne, Kaviani Ahmad, Patocskai Erica
Surgery, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, CAN.
Cureus. 2019 Sep 20;11(9):e5706. doi: 10.7759/cureus.5706.
The localization of nonpalpable axillary metastatic lymph nodes has been achieved using several techniques in the past. Amongst these techniques, the use of radioactive iodine seeds is increasingly spread, and was initially reserved to breast-conserving surgery. Many studies have assessed the use of radioactive seed localization for the surgical management of breast cancer patients diagnosed with lymph node metastases. However, few articles have reported their utilization in other cancer subtypes and in complex clinical situations. This case series describes the innovative use of radioactive seeds in the axilla in five patients, including one case of squamous cell carcinoma skin cancer, one case of malignant melanoma, and three cases of invasive breast cancer.
过去已使用多种技术实现对不可触及的腋窝转移性淋巴结的定位。在这些技术中,放射性碘籽源的应用日益广泛,最初它仅用于保乳手术。许多研究评估了放射性籽源定位在诊断为淋巴结转移的乳腺癌患者手术治疗中的应用。然而,鲜有文章报道其在其他癌症亚型及复杂临床情况下的应用。本病例系列描述了放射性籽源在五例患者腋窝中的创新性应用,其中包括一例皮肤鳞状细胞癌、一例恶性黑色素瘤以及三例浸润性乳腺癌。