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Surgery Today

, Volume 41, Issue 2, pp 197–202 | Cite as

Indocyanine green fluorescence imaging system for sentinel lymph node biopsies in early breast cancer patients

  • Hajime Abe
  • Tsuyoshi Mori
  • Tomoko Umeda
  • Makiko Tanaka
  • Yuki Kawai
  • Tomoharu Shimizu
  • Hirotomi Cho
  • Yoshihiro Kubota
  • Yoshimasa Kurumi
  • Tohru Tani
Original Article

Abstract

Purpose

This study presents a new method that enables the detection of sentinel lymph nodes (SLN) with high sensitivity using indocyanine green (ICG) fluorescence imaging.

Methods

This study enrolled 128 patients with clinically node-negative breast cancer. Fluorescence imaging was obtained after ICG was injected into the areola. Subcutaneous lymphatic channels were immediately visible.

Results

Lymphatic channels and SLN were successfully visualized in all patients. One lymphatic channel was 60%, two channels were 24%, and three channels were 16%. The number of fluorescence SLN ranged from 1 to 6, and blue-dyed SLN ranged from 0 to 3. In the latter, SLN were not identified in 44 patients. Nineteen patients had pathologically identified lymph node metastases. All of them were recognized by fluorescence imaging, but 8 patients had lymph nodes with metastases were not identified by dye method.

Conclusion

This ICG fluorescence imaging technique is feasible and safe for detecting SLN in a less invasive manner than conventional mapping, with real-time observations.

Key words

Breast cancer Indocyanine green Fluorescence imaging Sentinel lymph node biopsy 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Hajime Abe
    • 1
  • Tsuyoshi Mori
    • 1
  • Tomoko Umeda
    • 1
  • Makiko Tanaka
    • 1
  • Yuki Kawai
    • 1
  • Tomoharu Shimizu
    • 1
  • Hirotomi Cho
    • 1
  • Yoshihiro Kubota
    • 1
  • Yoshimasa Kurumi
    • 1
  • Tohru Tani
    • 1
  1. 1.Division of General Surgery, Department of SurgeryShiga University of Medical ScienceShigaJapan

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