Navigation Links
New technique may help detect potential breast cancer spread
Date:5/8/2009

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
sbenowitz@ucsd.edu
619-543-6163
University of California - San Diego
Source:Eurekalert

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:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... 2017 , ... Apple Rehab Shelton Lakes , which specializes in the ... facility as part of a disaster drill on October 3rd. , Apple Rehab participated ... Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid Plan ...
(Date:10/13/2017)... ... ... The Visiting Nurse Association (VNA) of Somerset Hills is proud to host ... items from across the nation, this holiday-themed event will raise funds and awareness for ... The boutique will be open Saturday, November 4 (10:00 a.m. – 5:00 p.m.) ...
(Date:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th Annual Kids ... Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, Jon Letko, ... run is geared towards children of all ages; it is a non-competitive, non-timed event, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, actor ... on sciatica in a new episode of "Success Files," which is an award-winning ... innovation and investigates each subject in-depth with passion and integrity. , Sciatica occurs ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of ... Philippines. “The Journey: From the Mountains to the Mission Field” is the creation of ... taught all ages and currently teaches a class of ladies at her church, which ...
Breaking Medicine News(10 mins):
(Date:9/13/2017)... OrthoAtlanta has been named the official orthopedic and sports ... the 2018 College Football Playoff (CFP) National Championship to be ... Atlanta, Georgia . OrthoAtlanta is proud to ... in many activities leading up to, and including the national ... OrthoAtlanta ...
(Date:9/12/2017)... -- Consumer reviews on the independent review site Consumer Affairs ... for hearing aids, ranking it higher than Miracle Ear ™, ... ... Hearing Aids ... store that provides high performance, state-of-the-art, German-engineered hearing aids directly to ...
(Date:9/9/2017)... 8, 2017 ... Unit coming to Washington DC ... When: Tuesday, September 12 th – Monday, September 18 th .The ... free MRI brain scans to the public.Where:  BTF,s ... at 501 K Street NW, Washington, D.C.What:BTF brings its nationwide initiative, the ...
Breaking Medicine Technology: