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Correspondence
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Volume 340:317-319 January 28, 1999 Number 4
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Sentinel-Lymph-Node Biopsy

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 by Krag, D.
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 by McMasters, K. M.
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To the Editor: Krag et al. (Oct. 1 issue)1 present interesting data on the use of probe-guided resection of radioactive sentinel nodes in patients with breast cancer, but they conclude that "the procedure can be technically challenging, and the success rate varies according to the surgeon." In our opinion, preoperative lymphoscintigraphy can facilitate surgical localization and excision of the sentinel node and increase the detection rate.

Lymphoscintigraphy is a nuclear-medicine procedure that is easy to perform and, in conjunction with the intraoperative gamma probe, has been successfully used primarily in patients with malignant melanoma or breast cancer.2,3 The main advantage . . . [Full Text of this Article]

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