99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study

ObjectiveTo explore the use of 99mTc-rituximab tracer injection for internal mammary sentinel lymph node (IM-SLN) detection in patients with primary breast cancer.MethodsThis prospective observational study enrolled female patients with primary breast cancer between September 2017 and June 2022 at F...

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Main Authors: Wenxin Chen, Yaodong Su, Hui Zhang, Yu Zhang, Lin Zhu, Mengbo Lin, Zhiyi Lin, Mingdian Yu, Shengping Yang, Yanmin Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1100077/full
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author Wenxin Chen
Wenxin Chen
Wenxin Chen
Yaodong Su
Yaodong Su
Yaodong Su
Hui Zhang
Hui Zhang
Yu Zhang
Yu Zhang
Yu Zhang
Lin Zhu
Lin Zhu
Mengbo Lin
Mengbo Lin
Zhiyi Lin
Zhiyi Lin
Zhiyi Lin
Mingdian Yu
Shengping Yang
Yanmin Zhang
author_facet Wenxin Chen
Wenxin Chen
Wenxin Chen
Yaodong Su
Yaodong Su
Yaodong Su
Hui Zhang
Hui Zhang
Yu Zhang
Yu Zhang
Yu Zhang
Lin Zhu
Lin Zhu
Mengbo Lin
Mengbo Lin
Zhiyi Lin
Zhiyi Lin
Zhiyi Lin
Mingdian Yu
Shengping Yang
Yanmin Zhang
author_sort Wenxin Chen
collection DOAJ
description ObjectiveTo explore the use of 99mTc-rituximab tracer injection for internal mammary sentinel lymph node (IM-SLN) detection in patients with primary breast cancer.MethodsThis prospective observational study enrolled female patients with primary breast cancer between September 2017 and June 2022 at Fujian Provincial Hospital. The participants were divided into the peritumoral group (two subcutaneous injection points on the surface of the tumor), two-site group (injections into the glands at 6 and 12 o’clock around the areola area), and four-site group (injections into the gland at 3, 6, 9, and 12 o’clock around the areola area). The outcomes were the detection rates of the IM-SLNs and axillary sentinel lymph nodes (A-SLNs).ResultsFinally, 133 patients were enrolled, including 53 in the peritumoral group, 60 in the two-site group, and 20 in the four-site group. The detection rate of the IM-SLNs in the peritumoral group (9.4% [5/53]) was significantly lower than in the two-site (61.7% [37/60], P<0.001) and four-site (50.0% [10/20], P<0.001) groups. The detection rates of A-SLNs among the three groups were comparable (P=0.436).ConclusionThe two-site or four-site intra-gland injection of 99mTc-rituximab tracer might achieve a higher detection rate of IM-SLNs and a comparable detection rate of A-SLNs compared with the peritumoral method. The location of the primary focus has no impact on the detection rate of the IM-SLNs.
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spelling doaj.art-3b42d8b6ebfa42eea6732786eb50cd3c2023-02-10T05:37:54ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-02-011310.3389/fonc.2023.1100077110007799mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational studyWenxin Chen0Wenxin Chen1Wenxin Chen2Yaodong Su3Yaodong Su4Yaodong Su5Hui Zhang6Hui Zhang7Yu Zhang8Yu Zhang9Yu Zhang10Lin Zhu11Lin Zhu12Mengbo Lin13Mengbo Lin14Zhiyi Lin15Zhiyi Lin16Zhiyi Lin17Mingdian Yu18Shengping Yang19Yanmin Zhang20Department of Nuclear Medicine, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaFujian Research Institute of Nuclear Medcine, Fuzhou, ChinaDepartment of Nuclear Medicine, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaFujian Research Institute of Nuclear Medcine, Fuzhou, ChinaDepartment of Oncology Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Oncology Surgery, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Nuclear Medicine, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaFujian Research Institute of Nuclear Medcine, Fuzhou, ChinaDepartment of Ultrasonic Diagnostics, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Ultrasonic Diagnostics, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Oncology Surgery, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Oncology Surgery, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Nuclear Medicine, Shengli Clinical Medical College of Fujian Medical University, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaFujian Research Institute of Nuclear Medcine, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaDepartment of Nuclear Medicine, Fujian Provincial Hospital, Fuzhou, ChinaObjectiveTo explore the use of 99mTc-rituximab tracer injection for internal mammary sentinel lymph node (IM-SLN) detection in patients with primary breast cancer.MethodsThis prospective observational study enrolled female patients with primary breast cancer between September 2017 and June 2022 at Fujian Provincial Hospital. The participants were divided into the peritumoral group (two subcutaneous injection points on the surface of the tumor), two-site group (injections into the glands at 6 and 12 o’clock around the areola area), and four-site group (injections into the gland at 3, 6, 9, and 12 o’clock around the areola area). The outcomes were the detection rates of the IM-SLNs and axillary sentinel lymph nodes (A-SLNs).ResultsFinally, 133 patients were enrolled, including 53 in the peritumoral group, 60 in the two-site group, and 20 in the four-site group. The detection rate of the IM-SLNs in the peritumoral group (9.4% [5/53]) was significantly lower than in the two-site (61.7% [37/60], P<0.001) and four-site (50.0% [10/20], P<0.001) groups. The detection rates of A-SLNs among the three groups were comparable (P=0.436).ConclusionThe two-site or four-site intra-gland injection of 99mTc-rituximab tracer might achieve a higher detection rate of IM-SLNs and a comparable detection rate of A-SLNs compared with the peritumoral method. The location of the primary focus has no impact on the detection rate of the IM-SLNs.https://www.frontiersin.org/articles/10.3389/fonc.2023.1100077/fullbreast cancer99mTc-rituximabsentinel lymph nodeinternal mammary lymph nodesingle photon emission computed tomography/computed tomographybiopsy
spellingShingle Wenxin Chen
Wenxin Chen
Wenxin Chen
Yaodong Su
Yaodong Su
Yaodong Su
Hui Zhang
Hui Zhang
Yu Zhang
Yu Zhang
Yu Zhang
Lin Zhu
Lin Zhu
Mengbo Lin
Mengbo Lin
Zhiyi Lin
Zhiyi Lin
Zhiyi Lin
Mingdian Yu
Shengping Yang
Yanmin Zhang
99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study
Frontiers in Oncology
breast cancer
99mTc-rituximab
sentinel lymph node
internal mammary lymph node
single photon emission computed tomography/computed tomography
biopsy
title 99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study
title_full 99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study
title_fullStr 99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study
title_full_unstemmed 99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study
title_short 99mTc-rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer: A prospective observational study
title_sort 99mtc rituximab tracer injection for guiding internal mammary sentinel lymph nodes biopsy in primary breast cancer a prospective observational study
topic breast cancer
99mTc-rituximab
sentinel lymph node
internal mammary lymph node
single photon emission computed tomography/computed tomography
biopsy
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1100077/full
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