Indocyanine green for sentinel lymph node detection in early breast cancer: Prospective evaluation of detection rate and toxicity-The FLUOBREAST trial.

Details

Serval ID
serval:BIB_1765B653E82B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Indocyanine green for sentinel lymph node detection in early breast cancer: Prospective evaluation of detection rate and toxicity-The FLUOBREAST trial.
Journal
The breast journal
Author(s)
Ngô C., Sharifzadehgan S., Lecurieux-Lafayette C., Belhouari H., Rousseau D., Bonsang-Kitzis H., Crouillebois L., Balaya V., Oudard S., Lécuru F., Elaidi R.T.
ISSN
1524-4741 (Electronic)
ISSN-L
1075-122X
Publication state
Published
Issued date
12/2020
Peer-reviewed
Oui
Volume
26
Number
12
Pages
2357-2363
Language
english
Notes
Publication types: Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Detection of sentinel lymph node in early breast cancer is commonly based on the combination of patent blue dye and a radioisotope 99m Technetium. Each of these two tracers has advantages and disadvantages leading to the development of the use of indocyanine green.
We conducted a prospective clinical trial to compare the detection rate of indocyanine green with 99mTe. Each patient undergoing a sentinel lymph node biopsy for an early breast cancer received both indocyanine green and radioisotopes. The trial was registered: FLUOBREAST EudraCT N 2015-000698-11, ClinicalTrials.gov: NCT02875626.
Among a total of 88 patients, 77 were assessable for a total of 205 nodes. Detection rates were 93% for the isotope and 96% for the indocyanine green. The combined detection rate was 99%. The overall concordance rate per patient was 91%. The median number of excised sentinel nodes was 2.3 for each tracer and 2.7 for the combined method (P = .21). All the macrometastatic nodes were detected by both indocyanine green and radioisotopes. The median time between incision of the axilla and removal of the last node was 14 minutes. There was neither allergy nor radio-sensitization linked with the use of indocyanine green.
Indocyanine green delivers a high detection rate and sensitivity for the sentinel lymph node biopsy in early breast cancer, with short operative time and a normal number of excised sentinel lymph nodes. Allergy is extremely rare and there is no toxicity. Indocyanine green could be an alternative to radioisotopes to provide an accurate staging of the axilla. Its routine use should be approved.
Keywords
Breast Neoplasms/diagnostic imaging, Breast Neoplasms/surgery, Coloring Agents/adverse effects, Female, Humans, Indocyanine Green, Lymph Nodes/diagnostic imaging, Lymphatic Metastasis, Prospective Studies, Sentinel Lymph Node/diagnostic imaging, Sentinel Lymph Node Biopsy, axillary staging, breast cancer, indocyanine green, sentinel lymph node
Pubmed
Web of science
Open Access
Yes
Create date
02/11/2020 14:36
Last modification date
20/02/2024 8:17
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