Evidence map›Paper›PMID 40510404›Full record

ArticleGeburtshilfe und Frauenheilkunde2025

Indocyanine Green Marking of Axillary Sentinel Lymph Nodes in Early Breast Cancer.

Steffi Hartmann, Meri-Liis Plonus, Gesche Schultek, Johannes Stubert, Bernd Gerber, Toralf Reimer

Abstract read
In one paragraph

Article in Geburtshilfe und Frauenheilkunde, 2025. 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
–field-weighted citation impact
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.

  1. Trial
  2. Article
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

6 authors.

Steffi HartmannUniversitätsfrauenklinik und Poliklinik, Klinikum Südstadt, Rostock, Germany.
Meri-Liis PlonusUniversitätsfrauenklinik und Poliklinik, Klinikum Südstadt, Rostock, Germany.
Gesche SchultekUniversitätsfrauenklinik und Poliklinik, Klinikum Südstadt, Rostock, Germany.
Johannes StubertUniversitätsfrauenklinik und Poliklinik, Klinikum Südstadt, Rostock, Germany.
Bernd GerberUniversitätsfrauenklinik und Poliklinik, Klinikum Südstadt, Rostock, Germany.
Toralf ReimerUniversitätsfrauenklinik und Poliklinik, Klinikum Südstadt, Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Axillary sentinel lymph node excision (SLNE) in breast cancer patients with clinically node-negative disease may be carried out using different tracers. The standard tracer is technetium colloid ( Material and Methods: A prospective, single-center cohort study carried out at the University Gynecological Hospital of Rostock from September 2023 to May 2024 carried out sentinel lymph node marking using only ICG in patients with breast malignancies. The ICG injection was administered immediately after the induction of anesthesia. Detection of the sentinel lymph node (SLN) was done using a laparoscopy system suitable for ICG. The aim was to determine the detection rate (DR) for SLNs marked exclusively using ICG and to record any complications. The costs of using ICG to mark SLNs were compared with those for Results: During the study period, contraindications against marking with ICG were ascertained for five (3.8%) of 132 patients with planned SLNE. A total of 100 SLNEs were carried out after ICG marking in patients who met the inclusion criteria in the context of the study. A median of two SLNs were resected. The detection rate (DR) for SLNs was 98.0%. SLNs were identified in all obese patients. No serious systemic side effects occurred following ICG injection. Transient skin discoloration in the area around the injection site were observed in eight patients. The direct cost of ICG marking was 62.73 Euros, which was 170.36 Euros lower than the cost of Conclusion: The detection rate of axillary SLNs marked using ICG is high and the method is cost-effective, has few side effects and can also be used in obese patients. Contraindications against the administration of ICG are rare. Marking with ICG is a good alternative to the

Indexed as

breast cancerfluorescenceindocyanine greensentinel lymph nodesentinel lymph node excision

Identifiers

PMID40510404
PMCPMC12158541

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Registered trials

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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.