When is breast cancer lymphoscintigraphy (sentinel lymph node mapping) contraindicated?

Updated: Dec 13, 2018
  • Author: Durre Sabih, MBBS, MSc, FRCP(Edin); Chief Editor: Mahan Mathur, MD  more...
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Answer

Answer

Absolute contraindications to lymphoscintigraphy include clinically positive (N1) axilla and allergy to component used. [2]

Relative contraindications to lymphoscintigraphy include the following [5] :

  • Prior biopsy (especially excisional biopsy)

  • Previous breast and axillary surgery

  • Advanced disease (associated with fatty degeneration of nodes with reduced function)

  • Neoadjuvant chemotherapy

  • Multicentric and multifocal disease

  • Ductal carcinoma in situ

  • High body mass index and old age

  • Pregnancy

  • Surgeon’s experience and skills


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