Is Breast Massage Necessary to Find Sentinel Lymph Node?

NCT ID: NCT05663112

Last Updated: 2023-09-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-06

Study Completion Date

2023-07-06

Brief Summary

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Sentinel lymph node biopsy is important for staging in patients with breast cancer and changes the way of surgery. One of the most commonly used methods to find the sentinel lymph node during surgery is to apply blue dye around the areola and then search for the sentinel lymph node. Breast massage is recommended following administration of the blue dye. However, the necessity of this massage is controversial. In this study, investigators will try to find out whether massage of the breast after blue dye injection has any positive effect on finding the sentinel lymph node.

Detailed Description

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This research is a prospective randomized study. Patients will be randomized by number-drawing method. Patients with BMI\>30 and age\>65 will be equally distributed to the experimental and active comparator arms. Under general anesthesia patients will be injected with 5 ml of isosulfan blue into the subareolar region. In one group, breast massage will be applied for 5 minutes. In the other group no massage will be applied. Surgical team will wait for a duration of 5 minutes for the self distribution of the blue dye.

Conditions

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Sentinel Lymph Node Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This research is a prospective randomized study. Patients will be randomized by number-drawing method. Patients with BMI\>30 and age\>65 will be equally distributed to the experimental and active comparator arms. Under general anesthesia patients will be injected with 5 ml of isosulfan blue into the subareolar region. In one group, breast massage will be applied for 5 minutes. In the other group no massage will be applied. Surgical team will wait for a duration of 5 minutes for the self distribution of the blue dye.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

not necessary

Study Groups

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Arm with massage

5 ml of isosulfan blue will be injected into the subareolar region. 5-minutes massage will be applied.

Drug: Isosulfan Blue 5 ml

Group Type ACTIVE_COMPARATOR

Sentinel lymph node biopsy

Intervention Type PROCEDURE

Sentinel lymph node biopsy will be performed.

Breast massage

Intervention Type PROCEDURE

Breast massage will be performed for a duration of 5 minutes.

Blue dye injection

Intervention Type PROCEDURE

Isosulfan blue dye will be injected in the subareolar region of the breast

Arm without massage

5 ml of isosulfan blue will be injected into the subareolar region. No massage will be applied.

Drug: Isosulfan Blue 5 ml

Group Type EXPERIMENTAL

Sentinel lymph node biopsy

Intervention Type PROCEDURE

Sentinel lymph node biopsy will be performed.

Blue dye injection

Intervention Type PROCEDURE

Isosulfan blue dye will be injected in the subareolar region of the breast

Interventions

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Sentinel lymph node biopsy

Sentinel lymph node biopsy will be performed.

Intervention Type PROCEDURE

Breast massage

Breast massage will be performed for a duration of 5 minutes.

Intervention Type PROCEDURE

Blue dye injection

Isosulfan blue dye will be injected in the subareolar region of the breast

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* the diagnosis of breast cancer by biopsy
* participants voluntarily participated in the clinical trial and signed informed consent

Exclusion Criteria

* had previous sentinel lymph node biopsy or axillary surgery
* had neoadjuvant chemotherapy
* had clinical hints of axillary lymph node metastasis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Celal Bayar University

OTHER

Sponsor Role lead

Responsible Party

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Sezgi Erel

Research assistant, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Teoman Coskun, Prof.

Role: STUDY_DIRECTOR

Celal Bayar University Department of General Surgery

Locations

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Celal Bayar University

Manisa, Yunusemre, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Diaz NM, Vrcel V, Centeno BA, Muro-Cacho C. Modes of benign mechanical transport of breast epithelial cells to axillary lymph nodes. Adv Anat Pathol. 2005 Jan;12(1):7-9. doi: 10.1097/01.pap.0000151267.34438.a1.

Reference Type RESULT
PMID: 15614159 (View on PubMed)

Shenoy V, Ravichandran D, Ralphs DN. Is massage following dye injection necessary in sentinel node biopsy in breast cancer? Breast. 2002 Jun;11(3):273-4. doi: 10.1054/brst.2002.0415.

Reference Type RESULT
PMID: 14965682 (View on PubMed)

Bass SS, Cox CE, Salud CJ, Lyman GH, McCann C, Dupont E, Berman C, Reintgen DS. The effects of postinjection massage on the sensitivity of lymphatic mapping in breast cancer. J Am Coll Surg. 2001 Jan;192(1):9-16. doi: 10.1016/s1072-7515(00)00771-7.

Reference Type RESULT
PMID: 11192930 (View on PubMed)

Related Links

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http://pubmed.ncbi.nlm.nih.gov/14965682/

Is massage following dye injection necessary in sentinel node biopsy in breast cancer?

http://pubmed.ncbi.nlm.nih.gov/11192930/

The Effects of Postinjection Massage on the Sensitivity of Lymphatic Mapping in Breast Cancer

http://pubmed.ncbi.nlm.nih.gov/15614159/

Modes of Benign Mechanical Transport of Breast Epithelial Cells to Axillary Lymph Nodes

Other Identifiers

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20.478.486

Identifier Type: -

Identifier Source: org_study_id

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