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The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer.

Publication ,  Journal Article
Bass, SS; Cox, CE; Salud, CJ; Lyman, GH; McCann, C; Dupont, E; Berman, C; Reintgen, DS
Published in: J Am Coll Surg
January 2001

BACKGROUND: The technique of lymphatic mapping and sentinel lymph node (SLN) biopsy is rapidly becoming the preferred method of staging the axilla of the breast cancer patient. This report describes the impact of postinjection massage on the sensitivity of this surgical technique. STUDY DESIGN: Lymphatic mapping at the H Lee Moffitt Cancer Center is performed using a combination of isosulfan blue dye and Tc99m labeled sulfur colloid. Data describing the rate of SLN identification and the node characteristics from 594 consecutive patients were calculated. Patients who received a 5-minute massage after injection of blue dye and radiocolloid were compared with a control group in which the patients did not receive a postinjection massage. RESULTS: When compared with controls, the proportion of patients who had their SLN identified using blue dye after massage increased from 73.0% to 88.3%, and the proportion of patients who had their SLN identified using radiocolloid after massage increased from 81.7% to 91.3%. The overall rate of SLN identification increased from 93.5% to 97.8%. The proportion of nodes that were stained blue among those removed increased from 73.4% to 79.7% after massage. CONCLUSIONS: As experience increases with this new procedure, the surgical technique of lymphatic mapping continues to evolve. The addition of a postinjection massage significantly improves the uptake of blue dye by SLNs and may also aid in the accumulation of radioactivity in the SLNs, further increasing the sensitivity of this procedure.

Duke Scholars

Published In

J Am Coll Surg

DOI

ISSN

1072-7515

Publication Date

January 2001

Volume

192

Issue

1

Start / End Page

9 / 16

Location

United States

Related Subject Headings

  • Technetium Tc 99m Sulfur Colloid
  • Surgery
  • Sentinel Lymph Node Biopsy
  • Sensitivity and Specificity
  • Rosaniline Dyes
  • Radiopharmaceuticals
  • Neoplasm Staging
  • Massage
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Bass, S. S., Cox, C. E., Salud, C. J., Lyman, G. H., McCann, C., Dupont, E., … Reintgen, D. S. (2001). The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer. J Am Coll Surg, 192(1), 9–16. https://doi.org/10.1016/s1072-7515(00)00771-7
Bass, S. S., C. E. Cox, C. J. Salud, G. H. Lyman, C. McCann, E. Dupont, C. Berman, and D. S. Reintgen. “The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer.J Am Coll Surg 192, no. 1 (January 2001): 9–16. https://doi.org/10.1016/s1072-7515(00)00771-7.
Bass SS, Cox CE, Salud CJ, Lyman GH, McCann C, Dupont E, et al. The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer. J Am Coll Surg. 2001 Jan;192(1):9–16.
Bass, S. S., et al. “The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer.J Am Coll Surg, vol. 192, no. 1, Jan. 2001, pp. 9–16. Pubmed, doi:10.1016/s1072-7515(00)00771-7.
Bass SS, Cox CE, Salud CJ, Lyman GH, McCann C, Dupont E, Berman C, Reintgen DS. The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer. J Am Coll Surg. 2001 Jan;192(1):9–16.
Journal cover image

Published In

J Am Coll Surg

DOI

ISSN

1072-7515

Publication Date

January 2001

Volume

192

Issue

1

Start / End Page

9 / 16

Location

United States

Related Subject Headings

  • Technetium Tc 99m Sulfur Colloid
  • Surgery
  • Sentinel Lymph Node Biopsy
  • Sensitivity and Specificity
  • Rosaniline Dyes
  • Radiopharmaceuticals
  • Neoplasm Staging
  • Massage
  • Humans
  • Female