Interest of SPECT/CT in Detection of Sentinel Lymph Node in Breast Cancer

Aim: Assess the role of hybrid modality SPECT/CT versus planar scintigraphy in sentinel lymph node (SLN) identification patients with breast cancer. Methods: Planar and were performed 23 women cancer (mean age 59.5 years range 25 - 82 years) invasive (T0, T1 T2), without clinical evidence axillary metastases (N0) no remote (M0), radiocolloid was injected four subareolar sites. images separately interpreted. Results: SLNs detected on lymphoscintigraphy all (100%), taking into consideration both techniques (planar SPECT-CT images). identified 45 women, a mean 1.95 per patient, whereas 56 SPECT/CT, increasing this to 2.43 patient. Drainage internal mammary nodes seen 4 (17.39%). However, two foci uptake image as hot SLN (8.69%); while they have been found false positive non-nodal site SPECT/CT. Conclusion: is more focused than detection It detects some not visible images, excludes exactly locates non-axillary SLNs.