Hamza Aziz
Division of Surgical Oncology, Duke University Medical Center,
Durham, NC
Tanzania
Case Report
Use of Radioactive Seed to Localize Axillary Lymph Node in Breast Cancers
Author(s): Hamza Aziz, Randall Scheri, Jay Baker and E Shelley HwangHamza Aziz, Randall Scheri, Jay Baker and E Shelley Hwang
Introduction: Axillary lymph node biopsy in an irradiated or previously operated axilla can be technically challenging. Radio-labeled seed localized (RSL) biopsy is an emerging modality for localizing tissue of interest that is not amenable to wire localization.
Case Report: A 60 year old female with history of breast cancer presented ten months after her initial resection with a new chest wall mass and an enlarged right axillary lymph node situated posterior and superior to the axillary vein. Given its location, wire localization was not possible and on the other hand operating without localization was too risky. We elected to place a 125I labeled titanium seed in the lymph node which greatly facilitated this otherwise difficult dissection and safely delivered the specimen needed for d.. View More»
