Lymph Node Mapping Prior to Surgery?

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Mommy2Six
Mommy2Six Member Posts: 119

For some reason, I was under the impression that the lymph node mapping took place after I was already under anesthesia. But when the nurse just called to give me instructions, she told me to arrive two hours prior to my surgery time so I would have time to go to Radiology for node mapping. Can anyone tell me what all this entails and share their experiences with me?

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  • glennie19
    glennie19 Member Posts: 6,398
    edited December 2014


    They have to inject the dye and sometimes it takes a while to move into the lymph nodes. I know that mine were slow movers! And it took a while for it to happen so that I could go to surgery.

  • Mommy2Six
    Mommy2Six Member Posts: 119
    edited December 2014

    Glennie, was the process really painful?

  • Morwenna
    Morwenna Member Posts: 1,063
    edited December 2014

    It does sting rather, so a good idea to put some EMLA (local anesthetic) cream on in a big dollop at least an hour prior to the procedure.

    Don't rub it in, but use about a tablespoon of cream to completely cover the nipple and areolar area, cover that lightly with kitchen cling wrap, secured with tape.

    I'm surprised they haven't advised you of this!

    I had my mapping done the day before, if I remember correctly. It's all a bit of a blur now!

  • Mommy2Six
    Mommy2Six Member Posts: 119
    edited December 2014

    They haven't told me anything at all! I totally thought the mapping happened in the OR and hadn't given it any thought until now. I'm still really tender and sore with seromas from my excisional biopsies in October, and have a lot of pain always with fibrocystic breasts, so the thought of something being injected into my breast is making me nauseous.
    Is it several sticks, or just one injection?

  • glennie19
    glennie19 Member Posts: 6,398
    edited December 2014


    It took several sticks on me to get the dye in the right places where they were happy.  And I was not given Emla cream either.

  • cookiegal
    cookiegal Member Posts: 3,296
    edited December 2014

    I have to be honest, I was warned that this would be the worst, and I have a historically low pain threshold.

    It wasn't that bad.

  • Ariom
    Ariom Member Posts: 6,197
    edited December 2014

    When I had mine, it was the radioactive tracer that was injected prior to surgery and like Glennie, mine was slow moving. I had to massage it through and have a scan to see if the sentinel node had lit up. It took several goes at massaging and scanning before the tech ran out holding the film in his hand, high 5'd me, shouting, "We've got it!" The blue dye was injected after I was under the anesthetic and the node was found, I believe, by a hand held thing, like a geiger counter.

    I know this procedure is done differently in other places, I am in Australia. The disparity between the amount of discomfort is debated here on the boards, all the time. For what it is worth. I had 4 injections, around the nipple, with no cream or anesthetic and I didn't feel a thing, To be honest, I was far more nervous about having this procedure done, than I was of the Mx, but for me, it was a non event.

    I hope it is just the same for you! Let us know how you get on.

  • Mollymae
    Mollymae Member Posts: 20
    edited December 2014

    The radioactive tracing was scheduled 90 minutes before my Bmx. Cream was placed on Breast 15 minutes prior to injections. I had 4 injections in each breast because lymph node biopsies were being done on both sides. I was very uncomfortable with the injections but. ..considering all that we go through prior to this procedure and soon after this procedure, it is bearable

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