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A comparative study of mitoxantrone hydrochloride injection and technetium-99 m for tracing axillary sentinel nodes in patients with breast cancer

A Comparative Study of Two Tracers in Breast Cancer

Purpose

This study explores the effectiveness of mitoxantrone hydrochloride injection (MHI) compared to technetium-99m (99mTc) for locating sentinel lymph nodes (SLNs) in breast cancer patients. Earlier research showed that MHI is safe and effective, and this study aims to identify any differences that were not previously noted.

Methods

The analysis looked at data from a phase III trial involving breast cancer patients. They received both MHI and 99mTc injections before surgery. Various statistical methods were used to examine differences between the two tracers, considering the influence of having multiple SLNs from the same patient.

Results

A total of 463 SLNs from 109 patients were removed, with 47 being pathologically positive. The detection rates of SLNs were similar for both MHI and 99mTc. However, MHI blue staining was found to be an important indicator of positive results, while the 99mTc signal was not significant.

Conclusion

MHI is as safe as 99mTc and has similar SLN detection rates, but it shows better sensitivity for positive SLNs.

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