The present invention is directed to instruments and instrumental
techniques for locating cancer cells in lymph nodes which utilize a
radiation detector operatively connected to an ultrasound probe for
locating the exact position of radiation tagged tissue, particularly in
sentinel lymph nodes followed by placement of a biopsy device. Also
described are unique new interoperative radiation detection probes for
use in these techniques which include structure for placement of a biopsy
device or biopsy needle into the located lymph node and procedures for
removal of small portions of detected radiation emitting sentinel lymph
nodes for evaluation in a pathology laboratory by measurement of
expressed genes located in the removed tissue. The instruments and
instrumental techniques also facilitate the subsequent delivery of
materials to reverse the unfavorable immune response or environment
conducive for metastasis in the sentinel lymph node once cancer cells are
located therein.