Radioactive blue dye injected to the breast for lymph node dissection

Posted by Glori @elvandi, Apr 25, 2017

Has anyone had this radioactive dye injected tracer before surgery to see if cancer in the lymph nodes. I understand it is very painful and since I was told this would be done for me before I have the lumpectomy removed in my breast. I, want to know more about it. Hope someone can advise me.

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I have had two sentinal lymph node biopies. The first, in 2014, was much more intrusive but was performed at UC Davis Center Center in Sacramento, California by a woman who studied at Johns Hopkins and was a pioneer in the system that is commonly used today. The injection was given several hours prior to my lumpectomy; I was standing up and felt a great deal of discomfort. My second, performed in 2018, was a much less painful and seemingly less intrusive procedure, performed while I was prone and in a device similar to that used for PET scans [with the exception that my head was outside the device]. I understand your trepidation. I wish you all the luck and blessings for a full recovery.

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@kathyomaha55

My friend thought it was unbearable pain. I thought it was very painful but not unbearable. They need it when looking for the closest lymph nodes. But it did SUCK. I did not have any pain from it after the surgery. Thank goodness.

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I agree that there is no pain following the procedure. It is indeed a necessary but uncomfortable procedure.

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@trixie1313

@beebeebaby123
It really isn't the most pleasant procedure in the world - I nearly broke my daughter's hand squeezing it as the dye went in. The tech injecting was really sweet and stopped for a few seconds explaining how sorry she was, but that the dye is a thick emulsion and that's why it is so painful. Good thing is, surgeons can see exactly where the course of the dye goes. In my case unfortunately, the dye followed a lymph node which had eroded into the lymphatic system.

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@beebeebaby123 and trixie1313
Before my lumpectomy, I did some research and presented it to my surgeon who thankfully was head of the Women's Breast Health department. I showed her the papers noting that the sentinel node radioactive tracer injection used by most hospitals was painful (not just uncomfortable) to most women, that a competing hospital used a different tracer (Lymphoseek) which was a few dollars more expensive but not at all painful. She immediately ordered the Lymphoseek and, as noted earlier, it was a non-event for me.

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@cathierose

I had the dye injection through my nipple it was the most pain I've ever felt in my life,my doctor did not brief me before the injection,i was very very angry ,when i saw her before sugery i told her i was very mad and i was about to go nigi warrior on her,then i went under,lucky for her! .
When i went back for follow up i brought it to her attention and asked her why she didn't warn me and she said if i told my patient's they may not have it.
That was her only responce ,and she's probably right.
I hate that you have to have it ,please take a nerve medication before .
As soon as it was over i ask for one and they got me one. They were very aplogic.
Good luck it's necessary, your be fine.

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My sister warned me about that. My surgeon assured me I'll be "under" at that time. I certainly hope so!

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I was “under” for the dye injection. I only realized I had that done was when I peed blue for a while. However, I had the radioactive tracer material injected prior to lumpectomy, as well as a wire imbedded in the breast and taped to the chest wall as well. Neither was pleasant, especially since I had to wait almost 4 hours between those procedures and the actual lumpectomy. I complained to surgeon’s PA about that, but she explained that the radiology department is scheduled on a different program than the rest of the surgical department. DUH!!

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I also had heard how painful it was, I spoke to the dr. administrating dye, and it was NOT painful, it took a long time and I was not "out". It was prelude to what turned out to be a "partial mastectomy", I thought it would be radical. So surprised when I saw I still had a boobie (deflated BUT) but the dye oozed for couple months thru the wound. Again, I may have been lucky, but so thankful no pain with the dye. It was done as IV. Just again, took long time, but Eisenhower hospital was awesome!

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For me the dye was injected while I was out in the OR. I did have the radio active tracer and wire done prior to surgery. The tracer injections were more painful than the wire placement. The wire placement was only painful because of the mammogram machine. Neither procedure was unbearable. I’m sorry to hear that others have experienced so much pain and anxiety.

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@grandmapeggy

For me the dye was injected while I was out in the OR. I did have the radio active tracer and wire done prior to surgery. The tracer injections were more painful than the wire placement. The wire placement was only painful because of the mammogram machine. Neither procedure was unbearable. I’m sorry to hear that others have experienced so much pain and anxiety.

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I must've been out for all of that. No memory of pain at all.

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Unfortunately, due to the distance involved for the surgery, I required having the injection the day before at my local hospital. Yes, it was quite painful. My daughter came with me and I think I nearly squeezed all the bones in her hand to the point of no return! For all of you ladies who had this under anesthesia, you were quite lucky. The wire locators, however, were a piece of cake.

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I also had mine done the day before. My surgeon had me get a prescription numbing cream to apply two hours before the procedure and then wrap the breast in Glad Saran wrap. My husband and I had a great laugh because the plastic had Christmas decor on it. This made the procedure bearable. Just remember anything you can do to get through this is a good thing.

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