Evidence map›Paper›PMID 28458580›Full record

ArticleBreast cancer (Dove Medical Press)2017

Lymphoscintigraphy detecting alterations of upper limb lymphatic flow following early sentinel lymph node biopsy in breast cancer.

Almir Jose Sarri, Eduardo Tinois da Silva, Rene Aloisio da Costa Vieira, Katia Hiromoto Koga, Pedro Henrique Moriguchi Cação, Vitor Coca Sarri, Sonia Marta Moriguchi

Open access · goldAbstract read
In one paragraph

Article in Breast cancer (Dove Medical Press), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Almir Jose SarriDepartment of Physical Therapy, Barretos Cancer Hospital, Barretos, Sao Paulo.
Eduardo Tinois da SilvaDepartment of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, Sao Paulo State University - UNESP, Botucatu.
Rene Aloisio da Costa VieiraDepartment of Mastology and Reconstructive Surgery, Barretos Cancer Hospital, Barretos.
Katia Hiromoto KogaDepartment of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, Sao Paulo State University - UNESP, Botucatu.
Pedro Henrique Moriguchi CaçãoDepartment of Radiology - Faculdade de Medicina de São José do Rio Preto (FAMERP).
Vitor Coca SarriMedical School, University of Franca, Sao Paulo, Brazil.
Sonia Marta MoriguchiDepartment of Tropical Diseases and Diagnostic Imaging, Botucatu Medical School, Sao Paulo State University - UNESP, Botucatu.
Universidade Estadual Paulista (Unesp) · BRHospital de Câncer de Barretos · BRFaculdade de Medicina de São José do Rio Preto · BRUniversidade de Franca · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate early variations in lymphatic circulation of the arm pre- and post-sentinel lymph node biopsy (SLNB) and conservative breast surgery by lymphoscintigraphy (LS). PATIENTS AND

methodsBetween 2005 and 2012, 15 patients underwent LS before and after the SLNB (total=30 studies). The pre-SLNB study was considered the control. Early images within twenty minutes (dynamic and static images) and delayed images within ninety minutes of arms and armpits were acquired using a gamma camera. The LS images before and after the SLNB of each patient were paired and compared to each other, evaluating the site of lymphatic flow (in the early phase) and identifying the number of lymph nodes (in the late phase). These dynamic images were subjected to additional quantitative analysis to assess the lymphatic flow rate using the slope assessed by the angular coefficient of the radioactivity × time curves in areas of interest recorded in the axillary region. The variations of lymphatic flow and the number of lymph nodes in the post-SLNB LS compared to the pre-SLNB LS of each patient were classified as decreased, sustained or increased. The clinical variables analyzed included the period between performing the SLNB and the subsequent LS imaging, age, body mass index, number of removed lymph nodes, type of surgery and whether immediate oncoplastic surgery was performed.

resultsThe mean age was 54.53±9.03 years (36-73 years), the mean BMI was 27.16±4.16 kg/m

conclusionUpper limb lymphatic flow gradually decreased after the SLNB and conservative breast surgery in this study, but these results are exploratory because of the small sample size. Further studies are needed to confirm and to investigate more in depth these findings.

Indexed as

breast cancerlymphedemalymph node sentinel biopsylymphoscintigraphynuclear medicine

Identifiers

PMID28458580
PMCPMC5402898
OpenAlexW2606236457

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.