Navigation Links
New technique may help detect potential breast cancer spread

A new phase III clinical trial of early stage breast cancer patients has shown that a molecule designed to home in on nearby lymph nodes is just as accurate as current techniques, but faster, more specific and easier to use.

"These results will really enable molecular biology to enter the operating room for lymph node detection," said breast surgeon Anne Wallace, MD, professor of clinical surgery at the UC San Diego School of Medicine and the Moores UCSD Cancer Center, and one of the study leaders. Wallace described her team's results May 7, 2009 at the 3rd International Symposium on Cancer Metastasis and the Lymphovascular System in San Francisco.

When a woman has breast cancer, doctors want to be sure that the disease has not spread to her lymph nodes, the first place a cancer may go. The lymphatic system is a network of vessels, ducts and glands that usually carry disease-fighting cells throughout the body, but also can act as a conduit for cancer cells to access the bloodstream.

According to Wallace, the presence or absence of cancer in lymph nodes is an important predictor of breast cancer prognosis, and as a result, the appropriate treatment. But finding the right lymph nodes to test and a standardized method of doing so hasn't been easy.

Wallace and David Vera, PhD, professor of radiology at the UC San Diego School of Medicine, were instrumental in the early development and testing of the molecule, called Lymphoseek, a radiopharmaceutical that binds to the receptor on lymph node white blood cells called macrophages. The radioactive portion of the molecule essentially lights up, enabling detection of such nearby "sentinel nodes" that are the most likely candidates to biopsy for possible cancer.

The trial, led by research teams at the Moores UCSD Cancer Center, the Moffit Cancer Center in Tampa, FL and other centers, along with the Dublin, OH-based Neoprobe Corporation, which developed Lymphoseek, compared the molecule's ability to detect nearby sentinel lymph nodes to that of the standard method using blue dye and a radioactive tracer substance.

In the trial, the Moores Cancer Center team, which also examined the technique separately in melanoma patients, looked at 46 early stage breast cancer patients. Each patient received Lymphoseek, and a short time later, blue dye which can also be detected and imaged as it enters the lymph nodes.

The surgeons removed the detected lymph nodes, which were subsequently sent to pathologists to determine whether cancer was present. The researchers found that more than 98 percent of sentinel lymph nodes containing blue dye also had Lymphoseek. Twenty-eight percent of the lymph nodes were positive for cancer, 100 percent of which were detected by Lymphoseek.

"The advantage in Lymphoseek is that we now have an agent that is tested and designed specifically for detection of sentinel lymph nodes," Wallace said, noting that blue dye is not specific for this use, lasts a shorter time in the body and may not always go to only sentinel nodes. "Lymphoseek is easier to use, takes less time to find lymph nodes and is cleared faster from the body. This could standardize the process of lymph node mapping and make the process easier, particularly for less experienced surgeons."

According to Wallace, these results could lead to other research on receptor binding imaging for different types of cancers, and propel the field of imaging cancer based on molecular profiling.


Contact: Steve Benowitz
University of California - San Diego

Related medicine news :

1. CorMatrix Cardiovascular to Present on its ECM Technology(TM) at the Annual Advanced Cardiac Techniques in Surgery (ACTS) Symposium in New York, N.Y.
2. Medical Nurse Training, Inc. Announces New Techniques to Achieve Tremendous Savings of Lives and Medical Costs of Over $200 Billion Annually
3. MRI: Imaging technique of choice to exam pregnant patients with possible appendicitis
4. New MR technique may help save women from unnecessary breast biopsies
5. New womens imaging technique allows for a more accurate diagnosis of breast cancer
6. IAEA conference to focus on new techniques in cancer treatment
7. New technique that scrambles light may lead to sharper images, wider views
8. First noninvasive technique to accurately predict mutations in human brain tumors
9. Robot improves suture proficiency more rapidly for surgeons inexperienced in laparoscopic techniques
10. Western Orthopaedics in Denver Blends Innovative Techniques to Provide a Spectrum of Shoulder Care
11. New technique invented to reveal pancreatic stem cells
Post Your Comments:
(Date:6/26/2016)... ... June 27, 2016 , ... Quality metrics are proliferating ... many ways they remain in the eye of the beholder, according to experts who ... of The American Journal of Managed Care. For the full issue, click here ...
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice Levels, ... editors can give their videos a whole new perspective by using the title ... Pixel Film Studios. , ProSlice Levels contains over 30 Different presets to choose ...
(Date:6/26/2016)... ... 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is helping to develop ... The fitness app plans to fix the two major problems leading the fitness industry today:, ... all type program , They don’t eliminate all the reasons people quit their ...
(Date:6/25/2016)... Washington, D.C. (PRWEB) , ... June 25, 2016 ... ... will discuss health policy issues and applications at AcademyHealth’s Annual Research Meeting June ... share their work on several important health care topics including advance care planning, ...
(Date:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June ... , brings up a new, often overlooked aspect of head lice: the parasite’s ability to ... is not a common occurrence, but a necessary one in the event that lice have ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... WAYNE, Pa. , June 23, 2016 ... provider, will launch its next generation clinical outcomes platform, Bracket ... DIA Meeting held on June 26 – 30, 2016 in ... 6.0, the first electronic Clinical Outcome Assessment product of its ... DIA Booth #715. Bracket eCOA 6.0 is a ...
(Date:6/23/2016)... , June 23, 2016 Revolutionary ... Oticon , industry leaders in advanced audiology ... of Oticon Opn ™, the world,s first internet ... possibilities for IoT devices.      (Photo: ... introduces a number of ,world firsts,: , ...
(Date:6/23/2016)... FRANKLIN, Tenn. , June 23, 2016 ... for automating, integrating and transforming the patient ... launch of several innovative new products and ... depth of its revenue cycle offerings. These ... establish more efficient workflows, remain compliant in ...
Breaking Medicine Technology: