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.