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Layering of Activity Around a Breast Implant Capsule During Lymphoscintigraphy

Krynyckyi, Borys R., MD; Shim, Jungho, MD; Goyenechea, Martin, MD; Kim, Chun K., MD

doi: 10.1097/01.rlu.0000135002.34305.d6
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A 44-year-old woman with bilateral breast implants and biopsy-proved infiltrating, moderately differentiated duct carcinoma was referred for lymphoscintigraphy for sentinel lymph node biopsy. Injection of Tc-99m sulfur colloid was performed perilesionally, taking great care not to inject into the breast implant, which was to remain in the chest. A layer of activity eventually spread along the capsule enclosing the breast implant from the perilesional injection. Subsequently, an areolar–cutaneous junction injection was performed to further augment activity in the sentinel node. The original sentinel node was enhanced along with what represents a reverse echelon node.

From the Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, New York, New York.

Received for publication October 13, 2003; accepted November 26, 2003.

Reprints: Borys R. Krynyckyi, MD, Department of Radiology, Division of Nuclear Medicine, Box 1141, The Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029-6574. E-mail: SYROB@MSN.COM

© 2004 Lippincott Williams & Wilkins, Inc.