CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2021; 81(10): 1121-1127
DOI: 10.1055/a-1471-4234
GebFra Science
Review/Übersicht

Targeted Removal of Axillary Lymph Nodes After Carbon Marking in Patients with Breast Cancer Treated with Primary Chemotherapy

Article in several languages: English | deutsch
Steffi Hartmann
1  Universitätsklinikum Rostock, Klinik für Gynäkologie und Geburtshilfe, Rostock, Germany
,
Angrit Stachs
1  Universitätsklinikum Rostock, Klinik für Gynäkologie und Geburtshilfe, Rostock, Germany
,
Thorsten Kühn
2  Klinikum Esslingen, Klinik für Gynäkologie und Geburtshilfe, Esslingen, Germany
,
Jana de Boniface
3  Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
4  Department of Surgery, Capio St. Göranʼs Hospital, Stockholm, Sweden
,
Maggie Banys-Paluchowski
5  Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Klinik für Gynäkologie und Geburtshilfe, Lübeck, Germany
6  Medizinische Fakultät der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany
,
Toralf Reimer
1  Universitätsklinikum Rostock, Klinik für Gynäkologie und Geburtshilfe, Rostock, Germany
› Author Affiliations

Abstract

In breast cancer patients who have received primary chemotherapy and then no longer have any suspicious lymph nodes clinically and/or on imaging, marking of initially suspicious axillary lymph nodes with targeted removal has recently been discussed and practised both in Germany and internationally as an alternative to complete axillary lymph node dissection. Tattooing of the suspicious lymph nodes with a highly purified carbon suspension is currently being investigated in clinical studies. Compared with other techniques, the advantages of this method are the high rate of intraoperative lymph node detection, avoidance of an immediately preoperative localisation procedure and the low costs. The practical aspects of lymph node tattooing and the current data regarding this method will be described.



Publication History

Received: 27 December 2020

Accepted after revision: 28 March 2021

Publication Date:
06 October 2021 (online)

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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