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01-11-2008 | Original Article

Sentinel Lymph Node Detection and Evidence of Axillary Lymphatic Integrity After Transaxillary Breast Augmentation: A Prospective Study Using Lymphoscintography

Authors: Heitor Naoki Sado, Ruth M. Graf, Lady W. Canan, Giovana G. Romano, Jorge R. Timi, Jorge E. Matias, Airton S. Yamada, Luiz C. Woellner, Gilvani A. Oliveira Cruz

Published in: Aesthetic Plastic Surgery | Issue 6/2008

Abstract

Background

The transaxillary breast augmentation (TBA) technique has gained popularity because of several advantages. However, the impact of the procedure on breast lymphatic drainage and sentinel node (SN) detection remains controversial. The objective of this study was to evaluate the lymphatic patterns and SN detection rates after TBA by using lymphoscintigraphy (LSG).

Methods

Twenty patients (40 breasts) who underwent TBA were evaluated by LSG immediately after periareolar injections of phytate-99 mTc at three time points: before TBA (Pre-LSG) and approximately 30 days (Recent-Post-LSG) and 6 months after TBA (Late-Post-LSG). Statistical analysis considered p < 0.05 significant, or p < 0.017 when Bonferroni correction was applied.

Results

All breasts drained primarily to the axillary SN. The binomial test did not show statistical differences in lymphatic drainage patterns between Pre-LSG and Recent-Post-LSG (p = 1), Pre-LSG and Late-Post-LSG (p = 0.625), and Recent-Post-LSG and Late-Post-LSG (p = 0.625). The average number of hot SN was 1.28 in Pre-LSG, 1.10 in Recent-Post-LSG, and 1.23 in Late-Post-LSG, without significant differences (p = 0.202). The average time of the first SN appearance was not significantly different (p = 0.186). Analysis of SN uptake percentage showed a significant difference between Pre-LSG and Recent-Post-LSG (p = 0.009), with a reduction of drainage magnitude in Recent-Post-LSG.

Conclusion

The preservation of axillary lymphatic drainage after TBA allowed for SN detection in all studied breasts. It seems that the applied surgical technique played an important role in axillary lymphatic integrity.

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Title: Sentinel Lymph Node Detection and Evidence of Axillary Lymphatic Integrity After Transaxillary Breast Augmentation: A Prospective Study Using Lymphoscintography
Authors: Heitor Naoki Sado
Ruth M. Graf
Lady W. Canan
Giovana G. Romano
Jorge R. Timi
Jorge E. Matias
Airton S. Yamada
Luiz C. Woellner
Gilvani A. Oliveira Cruz
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Aesthetic Plastic Surgery / Issue 6/2008
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI: https://doi.org/10.1007/s00266-008-9212-0

2024 ASCO Annual Meeting

Springer Medicine

Sentinel Lymph Node Detection and Evidence of Axillary Lymphatic Integrity After Transaxillary Breast Augmentation: A Prospective Study Using Lymphoscintography

Abstract

Background

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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