Archives of Current Medical Research

Yazarlar: Ümit Özdemir, İhsan Burak Karakaya, Ahmet Karayiğit, Dursun Burak Özdemir, Hayrettin Dizen

Konular:-

Anahtar Kelimeler:Sentinel Lymph Node Biopsy,Breast Cancer,Methylene Blue,Previous Skin,Paring Mastectomy

Özet: Evaluation of lymphatic spread in early stage breast cancer without clinical and radiological evidence of metastasis can be performed by sentinel lymph node biopsy (SLNB). However, controversies about performing the SLNB in patients who have a history of major breast or axillary region surgery keep going. This case report presents the outcomes of a SLNB performed on a 42-year-old woman who had been previously treated with bilateral nipple and skin-sparing mastectomy and breast reconstruction with areolar complex transfer and silicone breast implants. 0.5% diluted methylene blue solution was injected intradermally as a marker. SLNB is an inexpensive and effective method for adequate axillary evaluation in cases with previous mastectomy history. Intradermal injection of 0.5% diluted methylene blue could reduce the risk of skin necrosis and breast prosthesis rupture.

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