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Tabagua T.T.

N.N. Petrov National Medical Research Center of Oncology

Krivorotko P.V.

N.N. Petrov National Medical Research Center of Oncology

Levchenko V.E.

N.N. Petrov National Medical Research Center of Oncology

Pesotskiy R.S.

N.N. Petrov National Medical Research Center of Oncology

Amirov N.

N.N. Petrov National Medicine Research Center of Oncology

Zhiltsova E.K.

N.N. Petrov National Medicine Research Center of Oncology

Krzhivitskiy P.I.

N.N. Petrov National Medicine Research Center of Oncology

Semiglazov V.F.

N.N. Petrov National Medical Research Center of Oncology

Own experience of indocyanine green use in the diagnosis and treatment of breast cancer in N.N. Petrov NMRC of Oncology

Authors:

Tabagua T.T., Krivorotko P.V., Levchenko V.E., Pesotskiy R.S., Amirov N., Zhiltsova E.K., Krzhivitskiy P.I., Semiglazov V.F.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(7): 111‑114

DOI: 10.17116/hirurgia2024071111

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Table of contents

OWN EXPERIENCE OF INDOCYANINE GREEN USE IN THE DIAGNOSIS AND TREATMENT OF BREAST CANCER IN N.N. PETROV NMRC OF ONCOLOGY
OWN EXPERIENCE OF INDOCYANINE GREEN USE IN THE DIAGNOSIS AND TREATMENT OF BREAST CANCER IN N.N. PETROV NMRC OF ONCOLOGY

To cite this article:

Tabagua TT, Krivorotko PV, Levchenko VE, et al. . Own experience of indocyanine green use in the diagnosis and treatment of breast cancer in N.N. Petrov NMRC of Oncology. Pirogov Russian Journal of Surgery. 2024;(7):111‑114. (In Russ.)
https://doi.org/10.17116/hirurgia2024071111

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To evaluate the possibility of using the method of sentinel lymph nodes (SLN) detection with indocyanine green (ICG) in patients with early breast cancer and its informativeness.

MATERIAL AND METHODS

A «Determination of sentinel lymph nodes by fluorescence method intraoperatively with the use of indocyanine green» study, in which 168 patients are currently included, is being conducted in the clinic of the N.N. Petrov NMRC of Oncology from 2017 through the present. All patients who underwent biopsy of sentinel lymph nodes (BSLN) were primary with a T1-2N0M0 stage of process.

RESULTS

The average number of axillary lymph nodes removed in BSLN was 3 (1—5). Accumulation of ICG was found in 147 (88%) patients, accumulation of labeled radiocolloid — in 137 (82%), in combination of ICG/radiocolloid — in 167 (99%) based on the results of imaging.

CONCLUSION

The obtained results prove that the informativeness and relative simplicity of this method use allow its application in any hospital where breast cancer is surgically treated, as well as in the absence of radioisotopic equipment.

Keywords:

early breast cancer
sentinel lymph node
surgical treatment
indocyanine green
ICG

Authors:

Tabagua T.T.

N.N. Petrov National Medical Research Center of Oncology

Krivorotko P.V.

N.N. Petrov National Medical Research Center of Oncology

Levchenko V.E.

N.N. Petrov National Medical Research Center of Oncology

Pesotskiy R.S.

N.N. Petrov National Medical Research Center of Oncology

Amirov N.

N.N. Petrov National Medicine Research Center of Oncology

Zhiltsova E.K.

N.N. Petrov National Medicine Research Center of Oncology

Krzhivitskiy P.I.

N.N. Petrov National Medicine Research Center of Oncology

Semiglazov V.F.

N.N. Petrov National Medical Research Center of Oncology

Received:

01.04.2024

Accepted:

19.04.2024

List of references:

  1. Semiglazov VF, Kanaev SV, Semiglazov VV, Petrovskiĭ SG, Ivanov VG, Nurgaziev KSh, Arzumanov AS. A role of sentinel lymph node biopsy in detecting regional lymphatic collector status in breast cancer patients. Voprosy onkologii. 2002;48(1):106-109. (In Russ.).
  2. Ermakov AV. E’konomny’e operacii u bol’ny’x s nachal’ny’mi stadiyami raka molochnoj zhelezy’: Dis. ... kand. med. nauk. M. 2004. (In Russ.).
  3. Krivorot’ko PV, Novikov SN, Tabagua TT, Krzhiviczkij PI, Emel’yanov AS, Amirov NS, Rogachev MV, Zhil’czova EK, Pesoczkij RV, Ereshhenko SS, Gigolaeva LP, Nikolaev KS, Komyaxov AV, Zernov KYu, Enaldieva DA, Bondarchuk YaI, Ul’rix DG, Kanaev SV, Semiglazov VF. Metod opredeleniya signal’ny’x limfaticheskix uzlov pri rake molochnoj zhelezy’ s pomoshh’yu radioizotopnogo i/ili fluorescentnogo metodov. Uchebno-metodicheskoe posobie. SPb.: NMICz onkologii im. N.N. Petrova; 2024;8-9. (In Russ.).
  4. Semiglazov VF, Kanaev SV, Krivorotko PV, Novikov SN, Zhukova LA, Krzhivitsky PI. Methodological issues of biopsy of signaling lymph nodes in patients with breast cancer. Voprosy’ onkologii. 2013;59(2):90-94. (In Russ.).
  5. Krag DN, Weaver DL, Alex JC, Fairbank JT. Surgical resection and radiolocalisation of the sentinel lymph node in breast cancer using a gamma probe. Surgical Oncology. 1993;2(6):335-339.  https://doi.org/10.1016/0960-7404(93)90064-6
  6. Giuliano AE, Kirgan DM, Guenther JM, Morton DL. Lymphatic map- ping and sentinel lymphadenectomy for breast cancer. Annals of Surgery. 1994;220(3):391-401.  https://doi.org/10.1097/00000658-199409000-0001
  7. Senkus E, Kyriakides S, Penault-Llorca F, Poortmans P, Thompson A, Zackrisson S, Cardoso F; ESMO Guidelines Working Group. Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology. 2013;24(suppl 6):7-23.  https://doi.org/10.1093/annonc/mdt28
  8. Jinno H, Inokuchi M, Ito T, Kitamura K, Kutomi G, Sakai T, Kijima Y, Wada N, Ito Y, Mukai H. The Japanese Breast Cancer Society clinical practice guideline for surgical treatment of breast cancer, 2015 edition. Breast Cancer. 2016;23:367-377.  https://doi.org/10.1007/s12282-016-0671-x
  9. Sugie T, Ikeda T, Kawaguchi A, Shimizu A, Toi M. Sentinel lymph node biopsy using indocyanine green fluorescence in early-stage breast cancer: a meta-analysis. International Journal of Clinical Oncology. 2017;22(1):11-17.  https://doi.org/10.1007/s10147-016-1064-z

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