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Breast
Procedures
Image-Guided Procedures
Preoperative Axillary Node Localization
Preoperative Axillary Node Localization
Megha Madhukar Kapoor, MD; Whitney S. Boyce, MD; Jessica W. T. Leung, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Definitions

              • Image-guided localization of nonpalpable findings in axilla prior to surgical excision
                • Target usually = clipped metastatic node, s/p neoadjuvant chemotherapy (NAC)
              • Commercially available localization methods include: Wire, radioactive seed, magnetic seed, radar reflector, charcoal tattoo & intraoperative US

            PREPROCEDURE

            • Indications

              • Contraindications

                • Preprocedure Imaging

                  • Getting Started

                    PROCEDURE

                    • Patient Position/Location

                      • Procedure Steps

                        • Findings and Reporting

                          • Axillary Localization Methods

                            POST PROCEDURE

                            • Things To Do

                              OUTCOMES

                              • Complications

                                Selected References

                                1. Lamb LR et al: Evaluation of a nonradioactive magnetic marker wireless localization program. AJR Am J Roentgenol. 211(4):W202, 2018
                                2. Woods RW et al: A Review of options for localization of axillary lymph nodes in the treatment of invasive breast cancer. Acad Radiol. ePub, 2018
                                3. McCartan D et al: Current management of the axilla. Clin Obstet Gynecol. 59(4):743-755, 2016
                                4. Shin K et al: Radiologic mapping for targeted axillary dissection: needle biopsy to excision. AJR Am J Roentgenol. 207(6):1372-79, 2016
                                5. Caudle AS et al: Selective surgical localization of axillary lymph nodes containing metastases in patients with breast cancer: a prospective feasibility trial. JAMA Surg. 150(2):137-43, 2015
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Preprocedure

                                    • Procedure

                                      • Post Procedure

                                        • Outcomes

                                          TERMINOLOGY

                                          • Definitions

                                            • Image-guided localization of nonpalpable findings in axilla prior to surgical excision
                                              • Target usually = clipped metastatic node, s/p neoadjuvant chemotherapy (NAC)
                                            • Commercially available localization methods include: Wire, radioactive seed, magnetic seed, radar reflector, charcoal tattoo & intraoperative US

                                          PREPROCEDURE

                                          • Indications

                                            • Contraindications

                                              • Preprocedure Imaging

                                                • Getting Started

                                                  PROCEDURE

                                                  • Patient Position/Location

                                                    • Procedure Steps

                                                      • Findings and Reporting

                                                        • Axillary Localization Methods

                                                          POST PROCEDURE

                                                          • Things To Do

                                                            OUTCOMES

                                                            • Complications

                                                              Selected References

                                                              1. Lamb LR et al: Evaluation of a nonradioactive magnetic marker wireless localization program. AJR Am J Roentgenol. 211(4):W202, 2018
                                                              2. Woods RW et al: A Review of options for localization of axillary lymph nodes in the treatment of invasive breast cancer. Acad Radiol. ePub, 2018
                                                              3. McCartan D et al: Current management of the axilla. Clin Obstet Gynecol. 59(4):743-755, 2016
                                                              4. Shin K et al: Radiologic mapping for targeted axillary dissection: needle biopsy to excision. AJR Am J Roentgenol. 207(6):1372-79, 2016
                                                              5. Caudle AS et al: Selective surgical localization of axillary lymph nodes containing metastases in patients with breast cancer: a prospective feasibility trial. JAMA Surg. 150(2):137-43, 2015