Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 14, Number 12, December 2023, pages 419-425

Technetium-99-Guided Axillary Lymph Node Identification: A Case Report of a Novel Technique for Targeted Lymph Node Excision Biopsy for Node Positive Breast Cancer After Neoadjuvant Chemotherapy

Figures

Figure 1.
Figure 1. Contrast-enhanced breast magnetic resonance imaging. (a) The curved arrow identifies metastatic left axillary lymph node prior to placement of the Mammawire Fix Breast clip. (b) The straight arrow identifies 4 × 4 cm carcinoma of the left breast.
Figure 2.
Figure 2. (a) Ultrasound of metastatic left axillary lymph node. The metastatic left axillary lymph node is shown with the curved arrow. The straight arrow identifies the Mammawire Fix Breast clip, successfully deployed into the lymph node. (b) Ultrasound-guided injection of technetium-99m into the metastatic left axillary lymph node. The metastatic left axillary lymph node is shown with the curved arrow. The straight arrow identifies the tip of the needle injecting technetium-99m successfully into the lymph node.
Figure 3.
Figure 3. X-ray image of the technetium-99m localized metastatic left axillary lymph node. Curved arrow identifies the metastatic left axillary lymph node, while the straight arrow signifies the Mammawire Fix Breast clip within the lymph node.