Surender Kumar1, Raja Roy2,
Sandeep Kumar, Madhumati Goel, Ankita Rathore
1General Surgery, King George's Medical
University, Lucknow, Uttar Pradesh, India; 2CBMR, Centre of
Biomedical Magnetic Resonance, Lucknow, Uttar Pradesh, India
The
extent of axillary lymph node involvement in patients with cancer breast is
an important prognostic marker. Prophylactic axillary dissection is
associated with significant morbidity in clinically negative axilla. The
intra-operative sentinel node biopsy (SNB) provides a basis for omitting the
routine axillary dissection. However, it has limited sensitivity and requires
complicated training and infrastructure. We report the use of high resolution
magic angle proton magnetic resonance spectroscopy (HRMAS) in assessing the
axillary nodal status with increased sensitivity.