This site became the new on June 19th. Learn more.
Show more Menu IMPORTANT: Listing of a study on this site does not reflect endorsement by the National Institutes of Health. Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu IMPORTANT: Talk with a trusted healthcare professional before volunteering for a study. Read more... Menu
Give us feedback

Preoperative Localisation of the Sentinel Lymph Node in Breast Cancer

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified June 2010 by NHS Tayside.
Recruitment status was:  Recruiting
University of Dundee
Information provided by:
NHS Tayside Identifier:
First received: June 29, 2010
Last updated: July 12, 2010
Last verified: June 2010
When a person has breast cancer it is necessary to find out whether the cancer has spread to the lymph nodes in the armpit because if it has, further treatment is likely to be needed. There are many of these nodes but when the breast cancer spreads, it does so in a step-by-step fashion, starting with the so-called Sentinel Lymph Node (SLN). At present, the only way to be sure whether there is cancer in the lymph nodes or not is to perform an operation to remove at least the SLN. If the pathologist finds cancer in the SLN, a second operation is usually required to remove further nodes in case they contain cancer too. Surgical removal of the lymph nodes in the armpit can cause difficulties for the patient afterwards, such as pain and swelling in the arm. If there is no cancer in the SLN, no further operations on the armpit are needed. The investigators wish to find out whether in some patients, operations on the armpit can be avoided completely. The first step in doing this is to test whether the investigators can find out which is the SLN before the operation, using a combination of an injection and ultrasound scanning. The injection - into the skin of the breast - would be a radioactive substance, which is the usual way the surgeon finds the SLN. The radioactive substance collects in the SLN and the investigators would use a "gamma probe" over the surface of the armpit to detect the radiation. In this initial study, the investigators would aim to find the SLN before the operation and place a marker wire in it so that the surgeon could check whether the investigators had found the correct node.

Condition Intervention
Breast Cancer Procedure: Preoperative sentinel lymph node identification and marking

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Preoperative Identification of the Sentinel Lymph Node in Breast Cancer, Using Ultrasound and Radio-isotope/Percutaneous Gamma Probe

Resource links provided by NLM:

Further study details as provided by NHS Tayside:

Primary Outcome Measures:
  • Is the sentinel lymph node marked preoperatively confirmed as the SLN at surgery? [ Time Frame: 8 Months from start of trial. ]

Estimated Enrollment: 60
Study Start Date: April 2010
Estimated Study Completion Date: November 2010
Estimated Primary Completion Date: October 2010 (Final data collection date for primary outcome measure)
Intervention Details:
    Procedure: Preoperative sentinel lymph node identification and marking
    SLN is identified using gamma probe and ultrasound. Percutaneous wire placement carried out to mark SLN for subsequent surgical verification.

Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosed with invasive breast cancer suitable for primary surgical treatment
  • Booked for surgical Sentinel Lymph Node Biopsy

Exclusion Criteria:

  • Unable to give informed consent
  • Known bleeding disorder
  • Previous axillary surgery
  • Previously treated for the current tumour with chemotherapy or hormone therapy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01154972

Contact: Andrew Evans, FRCR +44 (0)1382 632196
Contact: Patsy Whelehan, MSc +44 (0)1382 496426

United Kingdom
Ninewells Hospital and Medical School Recruiting
Dundee, United Kingdom, DD1 9SY
Contact: Andrew Evans, FRCR    +44 (0)1382 632196   
Sub-Investigator: Douglas Brown, FRCS         
Sponsors and Collaborators
NHS Tayside
University of Dundee
  More Information

Responsible Party: Professor Andy Evans, University of Dundee Identifier: NCT01154972     History of Changes
Other Study ID Numbers: 2010ON03
Study First Received: June 29, 2010
Last Updated: July 12, 2010

Keywords provided by NHS Tayside:
sentinel lymph node

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms by Site
Breast Diseases
Skin Diseases processed this record on August 22, 2017