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Review ArticleContinuing Education

Lymphoscintigraphic Mapping in Melanoma and Breast Cancer

Madelene A. Young
Journal of Nuclear Medicine Technology December 2020, 48 (4) 311-314; DOI: https://doi.org/10.2967/jnmt.120.246918
Madelene A. Young
Cuyahoga Community College, Parma, Ohio
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    FIGURE 1.

    Leg melanoma with visualized node in groin. This image shows localization of SLN in groin area when injection is performed at thigh. Image provides idea of generalized regions in which lymph nodes are frequently found.

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    FIGURE 2.

    Breast lesion with visualized lymph node in axilla. Compare with Figure 3 to see benefits of using transmission source when imaging SLNs.

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    FIGURE 3.

    Breast lesion lymphoscintigraphy with 57Co transmission source (7). This image shows how transmission source can be effective tool when trying to relate internal node to external site on body. By showing body outline, image makes it easier to mark node for surgery. A = SLN from lateral view; B and C = other significant nodes, from anterior view, in ROI. These nodes may also be removed for biopsy.

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    TABLE 1

    Differences in Melanoma Subtypes, Their Impact on the Body, and Who Is Most at Risk

    SubtypeIncidenceLocationGrowth patternMetastasis potentialSex most at risk
    Superficial spreading70%Non–weight-bearing surfaces of footSlow and radialLowWomen
    Nodular15%–30%Non–weight-bearing surfaces of footRapid and verticalHighMen
    Lentigo maligna4%–10%Anterior lower leg in women; head and trunk in menSlow and radialLowWomen
    Acral lentiginous2%–8%Palms, soles, nail bedsRadial at first, then verticalHighWomen
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Journal of Nuclear Medicine Technology: 48 (4)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 4
December 1, 2020
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Lymphoscintigraphic Mapping in Melanoma and Breast Cancer
Madelene A. Young
Journal of Nuclear Medicine Technology Dec 2020, 48 (4) 311-314; DOI: 10.2967/jnmt.120.246918

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Lymphoscintigraphic Mapping in Melanoma and Breast Cancer
Madelene A. Young
Journal of Nuclear Medicine Technology Dec 2020, 48 (4) 311-314; DOI: 10.2967/jnmt.120.246918
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  • Article
    • Abstract
    • CLASSIFICATION OF MELANOMA
    • MELANOMA IMAGING TECHNIQUES
    • CLASSIFICATION OF BREAST LESIONS
    • BREAST IMAGING TECHNIQUES
    • DOWNSIDES TO LYMPHOSCINTIGRAPHY
    • PRACTICAL USES FOR LYMPHOSCINTIGRAPHY
    • THE FUTURE POTENTIAL OF LYMPHOSCINTIGRAPHY
    • DISCLOSURE
    • Acknowledgments
    • Footnotes
    • REFERENCES
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Keywords

  • Sentinel Lymph Node
  • Lymph node mapping
  • Melanoma
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