Sadia Hameed, Arif Hussain, Sabiha Riaz.
Sentinel lymph node; lymphatic mapping in patients with Breast carcinoma
Professional Med J Oct - Dec 2007;14(4):648-52.
Punjab Medical College Faisalabad and Sheikh Zayed Hospital, Lahore and Allied & DHQ Hospitals, Faisalabad

Objective: To assess the efficacy of a localization technique for the sentinel lymph node in patients with early breast carcinoma using 1% isosulphan blue. Study Design: Prospective study Place and Duration: Departments of Pathology, Punjab Medical College Faisalabad and Sheikh Zayed Hospital, Lahore and Departments of Surgery, Allied & DHQ Hospitals, Faisalabad from July 2002 — June 2003. Patients and Methods: 1% Isosulphan blue was used to identify the sentinel node in cases of early (T1 & T2) breast cancer. The dye was injected just before the incision was made. The area was massaged. Mastectomy was done. The sentinel node was identified by following the blue track to the first coloured lymph node. This was removed and submitted separately for histopathology along with the mastectomy specimen. Results: The procedure was performed in 95 cases. SLN were identified in 80 (84%) patients. The mean age was 43.99 years. Majority of the tumours were located in the right breast in the upper outer quadrant. One SLN was identified in 93%, 2 in 3% and 3 were noted in 4% of the cases. Conclusion: Injection of 1% isosulphan blue around the tumour is an effective method for isolation of the SLN in selected cases. lt saves the patient of the side effects of axillary clearance in node negative cases.

Category: Surgery
Keywords: Lymph Node. Breast Cancer. Cancer. Isosulphan Blue.

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