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June. 04, 2021

July. 25, 2025

jRCTs051210034

Clinical Trial for the Evaluation of Efficacy and Safety of Contrast Enhanced Ultrasonography-guided Sentinel Lymph Node Biopsy after Introducing Twirl Breast Marker for Axillary Lymph Node-positive Breast Cancer

Contrast Enhanced Ultrasonography-guided Sentinel Lymph Node Biopsy after Introducing Twirl Breast Marker for Axillary Lymph Node-positive Breast Cancer

Shimazu Kenzo

Osaka University Hospital

2-15 Yamada-oka, Suita city, Osaka, 565-0871, Japan

+81-6-6879-3772

kshimazu@onsurg.med.osaka-u.ac.jp

Miyake Tomohiro

Osaka University Hospital

2-15 Yamada-oka, Suita city, Osaka, 565-0871, Japan

+81-6-6879-3772

t_miyake@onsurg.med.osaka-u.ac.jp

Recruiting

June. 04, 2021

20

Interventional

single arm study

open(masking not used)

uncontrolled control

single assignment

treatment purpose

(1) Patients with the ability to consent who are 20 years old or older and younger than 90 years old at the time of obtaining informed consent
(2) Clinically T1-2N1M0 breast cancer patients with 1 to 2 positive axillary lymph nodes of whicn at least one axillary lymph node has been confirmed to harbor metastasis by fine needle aspiration cytology
(3) Patients whose condition are expected to be stable for longer than 6 months at the time of obtaining the informed consent
(4) Patients for whom a written consent has been obtained for participation in this study

(1) Patients with palpable hard nodes
(2) Patients with radiologically proven matted nodes or gross extranodal disease
(3) Patients who have been treated with preoperative chemotherapy or hormonal therapy for breast cancer
(4) Patients who are during or possibilities of pregnancy
(5) Patients who are allergic to metal or egg
(6) Patients with coronary artery disease
(7) Patients who seem not eligible for the present study

20age old over
90age old not

Female

Breast cancer

Hookwire-guided sentinel lymph node biopsy using contrast-enhanced ultrasonography after introducing Twirl breast markers

Breast cancer

Sentinel lymph node biopsy

D001943

D021701

Ratio of patients who have spared axillary lymph node dissection

Proportion of Twirl-LNs to sentinel lymph nodes
Tumor burden in Twirl-LN
Number of metastatic lymph nodes among non-sentinel lymph nodes
Ratio of Twirl-LN which could be sampled by means of intraoperative ultrasonography and conventional sentinel lymph node biopsy method, i.e., dye or radio-isotope method

Japan Society for the Promotion of Science
Not applicable
Osaka University Clinical Research Review Committee
2-2 Yamada-oka, Suita city, Osaka

+81-6-6210-8296

handai-nintei@hp-crc.med.osaka-u.ac.jp
Approval

May. 21, 2021

No

none

History of Changes

No Publication date
5 July. 25, 2025 (this page) Changes
4 May. 14, 2024 Detail Changes
3 July. 28, 2022 Detail Changes
2 May. 25, 2022 Detail Changes
1 June. 04, 2021 Detail