This case highlights the use of lymphoscintigraphy with SPECT/CT in patients with previous chest and/or axillary surgery. A 67-year-old woman with a history of left breast carcinoma treated with lumpectomy and radiotherapy, and a second lumpectomy of the ipsilateral breast for a second breast carcinoma, underwent a lymphoscintigraphy for a new left breast lesion. Planar images visualized an alternative lymphatic drainage to the contralateral axilla and to the left paravertebral area. SPECT/CT confirmed sentinel nodes in both stations.
From the Department of Radiology, Section Nuclear Medicine, Leiden University Medical Hospital, Leiden, The Netherlands.
Received for publication January 23, 2019; revision accepted May 26, 2019.
Conflicts of interest and sources of funding: none.
Correspondence to: Richard Raghoo, MD, Department of Radiology, Section Nuclear Medicine, C2-P, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands. E-mail: firstname.lastname@example.org.
Online date: July 15, 2019