Sentinel lymph node dissection for breast cancer: how many nodes are enough and which technique is optimal? - 19/08/11
Corresponding author. Tel.: +1-248-551-8890; fax: +1-248-551-8895.Abstract |
Background |
Controversy exists in sentinel lymph node (SLN) mapping in breast cancer regarding the appropriate number of nodes to remove and the best technique for identification of the SLNs.
Methods |
A retrospective chart review from January of 1999 to January of 2004 was performed for all patients undergoing a SLN biopsy examination who had at least 1 positive SLN.
Results |
We identified 167 patients. A mean of 4.4 SLNs were removed per patient. All of the positive SLNs were identified by node 6. Radiotracer used alone identified 19 positive nodes (11.4%) and blue dye used alone identified 14 positive nodes (8.4%).
Conclusions |
Our data show that 100% of positive SLNs are found by 6 nodes removed, thereby supporting the concept that the SLN dissection may not be complete by removing only 1 or 2 nodes or only the hottest node. The use of blue dye or radiotracer alone can contribute to the overall false-negative rate.
Le texte complet de cet article est disponible en PDF.Keywords : Breast neoplasms (surgery), Sentinel lymph node, Sentinel lymph node biopsy, Lymphatic mapping, Lymphoscintigraphy
Plan
Vol 191 - N° 3
P. 330-333 - mars 2006 Retour au numéro
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