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Factors influencing the time of sentinel node visualization in breast cancer patients using intradermal injection of the radiotracer
Authors:Aliakbarian Mohsen  Memar Bahram  Jangjoo Ali  Zakavi Seyed Rasoul  Reza Dabbagh Kakhki Vahid  Aryana Kamran  Forghani Mohammad Naser  Sadeghi Ramin
Affiliation:aSurgical Oncology Research Center, Mashhad University of Medical Sciences, Islamic Republic of Iran;bPathology Department, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran;cNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran;dCancer Research Center, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran
Abstract:

Background

The objective of our study was to determine the important factors that have influence on the time of sentinel node visualization using intradermal injection of 99mTc-antimony sulfide colloid.

Methods

Two hundred fifty consecutive patients with the diagnosis of early-stage breast cancer were evaluated. Anterior and lateral views were acquired in various intervals after intradermal injection of the tracer until 180 minutes or visualization of the sentinel node. The effect of several variables on the time of sentinel node visualization was evaluated by univariate and multivariate analyses.

Results

The time of sentinel node visualization was significantly correlated with age, body mass index (BMI), and interval between biopsy and sentinel node mapping. Standardized beta values for these variables were .1, .3, -.55 respectively.

Conclusions

Older age and higher BMI can result in slow sentinel node visualization. Longer interval between biopsy and sentinel node mapping can be associated with rapid sentinel node detection.
Keywords:Sentinel   99mTc-antimony sulfide colloid   Time of sentinel node visualization   Time to previous biopsy   Age   Body mass index
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