geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Most frequent location of the sentinel lymph nodes


, : Most frequent location of the sentinel lymph nodes. Asian Journal of Surgery 37(3): 125-129

Inappropriate skin incisions can make sentinel lymph node dissection difficult. A knowledge of the most common locations of the hotspot in the axilla helps in planning the incision. This information also helps to locate the lymph node preoperatively by ultrasound. The aim of this prospective study was to determine the most common location of the sentinel lymph node in the axilla. From January 2006 to December 2010, 974 consecutive patients who underwent sentinel lymph node dissection guided by (99m)Tc-sulfur colloid were included and the position of the hotspot in the axilla was recorded prospectively. The location of the hottest spot on the skin of the axilla was categorized into seven areas divided by five landmarks. In 98.4% of our patients, the hotspot detected on the axilla skin before sentinel lymph node dissection was located in the area demarcated by the four landmarks of the hairline, a line tangential to and 2 cm below the center of the hairline, the lateral border of the pectoralis major muscle, and the mid-axillary line. The area between these four landmarks is the most frequent location of the sentinel lymph node identified using the radioisotope method. We suggest that this area should be carefully evaluated preoperatively by ultrasound for appropriate surgical planning. A skin incision in this area is also recommended when sentinel lymph node dissection is guided by blue dye.

US$19.90

PMID: 24637184

DOI: 10.1016/j.asjsur.2014.01.006


Other references

Staub Walther, 1945: Der Bau der Stirnregion der Saint Bernhard-Decke und ihrer Unterlage zwischen Visp und Leuk-Suste im Mittel-Wallis. Structure of the frontal zone of the St. Bernard nappe and its basement between Visp and Leuk-Suste in central Valais, Switzerland.

Anonymous, 1982: Inaccuracy in the administration of carbadox to swine. Tijdschrift Voor Diergeneeskunde 107(12): 474-475

Lightstone, F.C., 2003: Using computational biology techniques to bridge the experimental divide. Environmental & Molecular Mutagenesis 41(3): 187

Raza, S.; Jornsgard, B.; Abou Taleb, H.; Christiansen, J.L., 2001: Tolerance of Bradyrhizobium sp. (Lupini) strains to salinity, pH, CaCO3 and antibiotics. Ten rhizobial isolates obtained from different locations in Egypt were examined for their ability to survive under stress conditions and their growth response to increasing levels of NaCl (1-8% w/v), pH (4-10), CaCO3 (1-10% w/v) and 12 antibiotics...

Rapaport, E.; Remedios, P., 1983: The high risk patient after recovery from myocardial infarction: recognition and management. Patients at high risk for recurrent myocardial infarction or death can be identified after recovery from an acute myocardial infarction. Predictors of high risk at the time of initial hospital discharge may vary in different localities depending o...

Rodgers, A.L.; Irving, R.A.; Mezzabotta, M.; Benloulou, P., 1986: Struvite crystalluria and urolithiasis in cross Labradors. Recurrent struvite crystalluria and urolithiasis in a cross-Labrador bitch was studied using a combined Coulter-Counter and scanning electron microscope (SEM) approach. Staphylococcus bacteria were cultured from the patient's urine as well as...

D.C.rlo F.J.; Crew M.C.; Haynes L.J.; Melgar M.D.; Gala R.L., 1968: Nitroglycerin metabolism by rats. Pharmacologist 10(2): 192

Zabinski, M.F., 2008: The internet-based My Body, My Life: Body Image Program for adolescent girls improves body image and disordered eating. Evidence-Based Mental Health 11(1): 23-23

Khiat, A.; Yared, Z.; Bard, C.; Lacroix, A.; Boulanger, Y., 2001: Long-term brain metabolic alterations in exogenous Cushing's syndrome as monitored by proton magnetic resonance spectroscopy. The effects of exogenous Cushing's syndrome on the brain metabolism were investigated by proton magnetic resonance spectroscopy (MRS). Thirteen patients having been treated for 2 to 22 years with prednisone were recruited. On the average, non...

Rizzi, R.R., 1998: No difference between remifentanil and fentanyl in patients undergoing craniotomy. Anesthesiology 88(1): 271-272