BREAST LYMPHOSCINTIGRAPHY FOR SENTINEL LYMPH NODE LOCALIZATION

DATE: 2/2/2006

PROCEDURE:  Multiple injections of 99m Tc filtered sulfur colloid (total volume of 8 ml) were administered into the breast tissue surrounding the lesion site.  Anterior and lateral projection images of the chest were subsequently obtained.  A hand-held gamma probe was also used to mark the site of sentinel lymph node on the skin surface.  At the end of the procedure, the probe was supplied to the general surgery service for intraoperative localization of the sentinel node.

INJECTION SITE: [...] breast

RADIOPHARMACEUTICAL DOSE: [1] mCi

TIME OF IMAGING (HOURS POST INJECTION): 2 hours.

CLINICAL HISTORY: The patient is a [...]-year-old female with [...] breast cancer. She is referred to Nuclear Medicine for sentinel node lymphoscintigraphy.

FINDINGS: Intense tracer activity is seen at the tracer injection site in the [...] breast. A small focus is identified in the [...] axilla that is consistent with a sentinel lymph node. 

CONCLUSIONS: A sentinel lymph node is identified in the [...] axillary area.

Thank you for referring this patient to the UCLA Nuclear Medicine Clinic.

I, [...], M.D., Ph.D., have reviewed this Nuclear Medicine study personally, and am in full agreement with the findings of the report presented here.