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Unexpected Lymphatic Drainage of the Treated Breast

Raghoo, Richard MD; Pereira Arias-Bouda, Lenka M. MD, PhD; Valdés Olmos, Renato A. MD, PhD

doi: 10.1097/RLU.0000000000002705
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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:

Online date: July 15, 2019

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