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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) Contralateral axillary sentinel lymph node drainage in breast cancer: Controvers...
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Vol. 38. Issue 5.
Pages 316-319 (September - October 2019)
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Vol. 38. Issue 5.
Pages 316-319 (September - October 2019)
Clinical note
DOI: 10.1016/j.remnie.2018.12.001
Contralateral axillary sentinel lymph node drainage in breast cancer: Controversies and management according to the literature. A case report
Drenaje del ganglio centinela a axila contralateral en cáncer de mama: controversias y manejo según la literatura. A propósito de un caso
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R. Valhondo-Ramaa,
Corresponding author
r.valhondorama@gmail.com

Corresponding author.
, C.G. Wakfie-Corieha, E.A. Rodríguez Galloa, M.J. Pérez-Castejóna, J.M. Brenes Sánchezb, M. Herrera de la Muelab, J.L. Carreras-Delgadoa
a Servicio de Medicina Nuclear, Hospital Clínico San Carlos, Madrid, Spain
b Unidad de Patología Mamaria, Servicio de Ginecología y Obstetricia, Hospital Clínico San Carlos, Madrid, Spain
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Abstract

Lymphoscintigraphy in breast cancer usually shows lymphatic drainage to the ipsilateral axilla. Drainage to extraaxillary or contralateral axillary regions is rare and there is still controversy about its management. Due to the significant clinical impact of an accurate staging, a literature research is made based on a case of a patient with recurrence of left breast cancer with contralateral axillary sentinel lymph node detection, without evidence of lymphatic drainage to other locations.

Keywords:
Breast cancer
Lymphoscintigraphy
Sentinel node
Contralateral
Extraaxillary drainage
Resumen

En el cáncer de mama la linfogammagrafía muestra generalmente drenaje linfático hacia axila ipsilateral. De manera infrecuente, se observa drenaje hacia regiones extraaxilares o axilar contralateral, y su manejo aún genera controversias. Dado el impacto clínico que supone una correcta estadificación, se realiza una revisión bibliográfica a raíz del caso de una paciente con recidiva de cáncer de mama izquierda con detección de ganglio centinela axilar contralateral, sin evidencia de drenaje linfático hacia otras localizaciones.

Palabras clave:
Cáncer de mama
Linfogammagrafía
Ganglio centinela
Contralateral
Drenaje extraaxilar

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