Lymphoscintigraphy of a Breast Tumor Showing Focal Tracer Accumulation Along the Falciform Ligament of the Liver

被引：3

作者：

Vermeeren, L. ^{[1
]}

Tanis, P. J. ^{[2
]}

Nieweg, O. E. ^{[2
]}

Olmos, R. A. Valdes ^{[1
]}

机构：

[1] Antoni Van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Nucl Med, Amsterdam, Netherlands

[2] Antoni Van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Surg, Amsterdam, Netherlands

来源：

CLINICAL NUCLEAR MEDICINE | 2010年 / 35卷 / 03期

关键词：

sentinel lymph node biopsy; breast neoplasms; lymphatic drainage; HEPATOCELLULAR-CARCINOMA; METASTASIS; LYMPHATICS; CADAVER;

D O I：

10.1097/RLU.0b013e3181cc642c

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Technetium-99m nanocolloid was injected intratumorally in a patient with a left breast carcinoma. Sequential planar images showed drainage to an axillary and a left parasternal sentinel node. The liver showed faint homogeneous tracer uptake but there was also focal tracer accumulation adjacent to the liver. Single photon emission computed tomography-computed tomography (SPECT/CT) visualized the 2 sentinel nodes, but also intense tracer accumulation along the falciform ligament. Lymph from the breast can follow unpredictable pathways and may travel retrograde via the internal mammary chain towards lymphatic channels along the falciform ligament. This phenomenon might also explain incidental observations of umbilical metastasis in breast cancer.

引用

页码：168 / 169

页数：2

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