lymphoscintigraphy scan, sentinel lymph node mapping, lymph node, breast cancer, sentinel nodes" /> lymphoscintigraphy scan, sentinel lymph node mapping, lymph node, breast cancer, sentinel nodes" />
 
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Test Details
Test Code:NM0050
Test Name:Lymphoscintigraphy
Test Details & Preparation
Lymphoscintigraphy (sentinel lymph node mapping) is an imaging technique used to identify the lymph drainage basin, determine the number of sentinel nodes, differentiate sentinel nodes from subsequent nodes, locate the sentinel node in an unexpected location, and mark the sentinel node over the skin for biopsy.

Lymphoscintigraphy is rapidly becoming an alternate staging procedure for the axilla in managing early breast cancer. The procedure is applicable to almost all regions of the body, but the greatest impetus to the technique came with the application of the procedure to identify breast sentinel nodes.

Lymphoscintigraphy is an important procedure because if the sentinel node is free of metastasis, subsequent nodes are also likely to be free of disease.

Lymphoscintigraphy allows the patient to avoid axillary clearance surgery (axillary lymph node dissection) if the sentinel node is negative for metastatic disease. Given the high prevalence of breast cancer worldwide, the possibility of avoiding axillary clearance surgery in a significant number of patients makes this an extremely valuable procedure.

Lymphoscintigraphy is indicated for proven palpable or nonpalpable invasive breast carcinoma for which removal of the primary tumour and axillary node dissection would be indicated.

Relative contraindications to lymphoscintigraphy include prior biopsy, previous breast and axillary surgery, advanced disease, neoadjuvant chemotherapy, multicentric and multifocal disease, ductal carcinoma in situ, high body mass index and old age and pregnancy.
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