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Lymphoscintigraphy

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The Pathophysiologic Basis of Nuclear Medicine

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Abstract

Lymphoscintigraphy has recently acquired an expanding role in clinical medicine. Most evaluations of lymphedema have assessed the lower extremities, but the upper extremities have also been studied, especially in patients with breast cancer who develop lymphedema following axillary dissection. Over the past three decades, in addition to its increasing utilization in the evaluation of lymphedema, it has been used to determine metastatic drainage sites in breast cancer, melanoma, and other cancer patients. In breast cancer patients, lymphoscintigraphy was originally used to detect tumor metastases to the axillary and internal mammary lymph node chains. Later, it was applied to the localization of lymph nodes for radiation therapy planning and for determining the completeness of surgical adenectomies. Currently, it is used mainly to determine the location of sentinel lymph node(s).

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Authors and Affiliations

  1. Division of Nuclear Medicine, Department of Radiology, Medical College of Wisconsin, Milwakee, WI, USA

    Arthur Z. Krasnow

  2. Department of Nuclear Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait

    Abdelhamid H. Elgazzar MD, FCAP

  3. Department of Nuclear Medicine, Mubarak Hospital, Jabriya, Kuwait

    Nafisa Kazem MD

  4. Department of Nuclear Medicine, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait

    Saud A. Alenezi MD, ABNM, FRCPC

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  1. Arthur Z. Krasnow
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  2. Abdelhamid H. Elgazzar MD, FCAP
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  3. Nafisa Kazem MD
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  4. Saud A. Alenezi MD, ABNM, FRCPC
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Correspondence to Abdelhamid H. Elgazzar MD, FCAP .

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  1. Dept. Nuclear Medicine, Kuwait University Fac. Medicine, Safat, Kuwait

    Abdelhamid H. Elgazzar

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Krasnow, A.Z., Elgazzar, A.H., Kazem, N., Alenezi, S.A. (2015). Lymphoscintigraphy. In: Elgazzar, A. (eds) The Pathophysiologic Basis of Nuclear Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-06112-2_19

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