25 January 2024>: Articles
Lymphoscintigraphy and Single-Photon Emission Computed Tomography (SPECT)/CT to Determine Need for Second Sentinel Lymph Node Biopsy for Breast Cancer Recurrence Following Ipsilateral Breast/Axillary Surgery
Unusual clinical course, Challenging differential diagnosis
Satoko Nakano A* , Sayoko Kakimoto D , Saaya Takahashi D , Akemi Mibu B , Hirokazu Saigusa BDOI: 10.12659/AJCR.942424
Am J Case Rep 2024; 25:e942424
Figure 2. The patient (Patient 2) was diagnosed with triple-negative breast cancer that was clinically node-negative. Sentinel node biopsy (SNB) was performed initially, followed by chemotherapy. However, the tumor progressed rapidly, so the treatment was changed to surgery. Lymphoscintigraphy and single-photon emission computed tomography (SPECT/CT) showed no second sentinel node (SN). The front and oblique views of planar images (A, B, respectively). SPECT/CT images (C, D). Images taken at 15 min after 99mTc-phytate injection (A, C) and at 3 h (B, D). Accumulation observed only at the isotope injection point.