{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T04:41:53Z","timestamp":1648528913767},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>For accurate nodal staging, all blue and radioactive lymph nodes should be sampled during the sentinel lymph node biopsy for breast cancer. We report a case of anomalous drainage in which one of the sentinel lymph nodes was unexpectedly found in the level III axillary space.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A 40-year-old female underwent mastectomy for extensive high-grade ductal carcinoma in-situ (DCIS) with micro-invasion. The index lesion was located in the right upper inner quadrant. Lymphoscintigraphy was performed on the morning of surgery. Two sentinel lymph nodes were identified. At operation, 5 mls of isosulfan blue dye was injected at the same site of the radio-colloid injection. The first sentinel lymph node was found at level I and was blue and radioactive. The second sentinel node was detected in an unexpected anomalous location at level III, medial to the <jats:italic>pectoralis minor<\/jats:italic>. Both sentinel nodes were negative.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Sentinel node staging can lead to unexpected patterns of lymphatic drainage. For accurate staging, it is important to survey all potential sites of nodal metastasis either with preoperative lymphoscintigraphy and\/or rigorous examination of regional nodal basins with the intra-operative gamma probe.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1477-7819-4-31","type":"journal-article","created":{"date-parts":[[2006,6,7]],"date-time":"2006-06-07T18:29:05Z","timestamp":1149704945000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A level III sentinel lymph node in breast cancer"],"prefix":"10.1186","volume":"4","author":[{"given":"Kim","family":"Bowers","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiyan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nasrin","family":"Ghesani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve H","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2006,6,7]]},"reference":[{"issue":"9","key":"186_CR1","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1007\/s10434-000-0636-2","volume":"7","author":"N Klauber-DeMore","year":"2000","unstructured":"Klauber-DeMore N, Tan LK, Liberman L, Kaptain S, Fey J, Borgen P, Heerdt A, Montgomery L, Paglia M, Petrek JA, Cody HS, Van Zee KJ: Sentinel lymph node biopsy: is it indicated in patients with high-risk ductal carcinoma-in-situ and ductal carcinoma-in-situ with microinvasion?. Ann Surg Oncol. 2000, 7 (9): 636-642. 10.1007\/s10434-000-0636-2.","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"186_CR2","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1007\/s10434-000-0015-z","volume":"7","author":"S Pendas","year":"2000","unstructured":"Pendas S, Dauway E, Giuliano R, Ku N, Cox CE, Reintgen DS: Sentinel node biopsy in ductal carcinoma in situ patients. Ann Surg Oncol. 2000, 7 (1): 15-20. 10.1007\/s10434-000-0015-z.","journal-title":"Ann Surg Oncol"},{"issue":"3","key":"186_CR3","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1097\/00000478-199903000-00003","volume":"23","author":"RR Turner","year":"1999","unstructured":"Turner RR, Ollila DW, Stern S, Giuliano AE: Optimal histopathologic examination of the sentinel lymph node for breast carcinoma staging. 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