Sentinel lymph node biopsy using computed tomography–lymphography in patients with breast cancer

Tangoku, Akira; Yamamoto, Shigeru; Suga, Kazuyoshi; Ueda, Katsuhiko; Nagashima, Yukiko; Hida, Makoto; Sato, Tomomitsu; Sakamoto, Kazuhiko; Oka, M.

doi:10.1016/j.surg.2003.07.003

Cited by 73 publications

(78 citation statements)

References 32 publications

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“…While radioactive colloid and blue dye have been used in the identification of SLNs, alternative methods such as computed tomography (CT) lymphography and magnetic resonance (MR) lymphography have also been assessed in finding and biopsying the SLN [21][22][23][24]. The ultrasound contrast agent "microbubbles" has been shown to be an alternative method in the identification of SLNs [8].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous removal of sentinel lymph nodes in a swine model using a breast lesion excision system and contrast-enhanced ultrasound

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Percutaneous removal of sentinel lymph nodes in a swine model using a breast lesion excision system and contrast-enhanced ultrasound

et al. 2011

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“…Lymph flows from the tumor was visualized on a 3D CT image, with the surrounding anatomy during the preoperative, routine CT examination for tumor infiltration and metastasis. 48,49) CT lymphography (CTLG) with endoscopic mucosal injection of iopamidol was applicable for SLN navigation of superficial esophageal cancer. [50][51][52] The multiple-angle views of 3D, CT image sets provided a comprehensive anatomy of these lymphatic pathways (Fig.…”

Section: Another Strategy For Measuring Tumor Extent Of Superficial Ementioning

confidence: 99%

The New Era of Staging as a Key for an Appropriate Treatment for Esophageal Cancer

Tangoku

Yamamoto

Furukita

et al. 2012

Ann Thorac Cardiovasc Surg

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Fluorodeoxyglucose-positron emission tomography (FDG-PET) and computed tomography (CT) have become the gold standard for staging of esophageal cancer by detecting distant metastases, but metastatic lymph nodes are often difficult to diagnose from the size and standardized uptake value (SUV). If we compare the diagnostic performance of endoscopic ultrasonography (EUS), CT, and FDG-PET in staging of esophageal cancer, EUS is the most sensitive method to identify the detection of regional lymph node metastases, whereas CT and FDG-PET are more specific tests. Combination study with CT, EUS and PETCT cannot make a precise diagnosis after neoadjuvant therapy (NAT). A precise staging might be determined by the fine needle aspiration biopsy (FNAB) under EUS and US screening in the neck and the abdomen even after NAT. Indication of endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for superficial cancer is sensitive because of difficulty in T1b cancer diagnosis. Detailed examination about vessel invasion and the possibility of residual tumor with dissected specimen will offer an appropriate additional therapy. New strategy like sentinel lymph node (SLN) navigation could supply more information about lymphatic routes and metastatic nodes. SLN navigation with ESD might become a new less invasive strategy for superficial esophageal cancer.

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“…The most commonly used methods to identify the SN are dye-staining Borgstein, 1997) and radioisotope incorporation (Krag, 1993;. Multidetector-row threedimensional computed tomography (3D-CT) mammary lymphography (LG) can be used to mark the precise location of the SN on the skin before the operation (Suga, 2003;Tangoku, 2004;Minato, 2004). The detailed relations between lymph nodes and lymph flow in the breast and the axilla can be clarified using 3D-CT LG (Yamashita, , 2009.…”

Section: Introductionmentioning

confidence: 99%

3D-CT Mammary Lymphography Facilitate the Endoscopic Sentinel Node Biopsy

Yamashita¹,

Haga²,

Shimizu³

2012

Computed Tomography - Clinical Applications

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Sentinel lymph node biopsy using computed tomography–lymphography in patients with breast cancer

Cited by 73 publications

References 32 publications

Percutaneous removal of sentinel lymph nodes in a swine model using a breast lesion excision system and contrast-enhanced ultrasound

Percutaneous removal of sentinel lymph nodes in a swine model using a breast lesion excision system and contrast-enhanced ultrasound

The New Era of Staging as a Key for an Appropriate Treatment for Esophageal Cancer

3D-CT Mammary Lymphography Facilitate the Endoscopic Sentinel Node Biopsy

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