A Novel Dual Technique Combining Radiotracer and Magnetism for Restaging Axilla after Neoadjuvant Therapy in Axillary Node-positive Breast Cancer Patients

Surgical treatment of the axilla in patients with breast cancer has changed with the arrival of the neoadjuvant systemic therapies (NST); the role of axillary lymph node dissection with the use of radiotracers, fluorescent particles, surgical clips and radioactive seeds appears to play a significant role following these systemic therapies. We present a novel dual technique (99mTc-Nanocoll® or 99mTc-Lymphoseek®) for sentinel lymph node biopsy (SLNB) and the use of magnetic seed (Magseed®) for the achievement of more accurate and less invasive method to restaging the axilla after NST.