A positive intramammary lymph node does not mandate a complete axillary node dissection - 23/01/12
Corresponding author. Tel.: +1-507-284-3629; fax: +1-507-284-5196Abstract |
Background |
We hypothesized that even in the face of a positive intramammary lymph node (IMLN) a negative axillary sentinel lymph node (SLN) reliably stages the axilla and complete axillary lymph node dissection (CALND) can be avoided.
Methods |
A literature search identified 386 publications that included IMLNs and SLN biopsies. Patients with a positive IMLN and negative axillary SLN who underwent a CALND were included. A review of our database was also performed.
Results |
Twenty-one cases in the literature met our criteria. A review of our database resulted in 2 additional cases. Twenty-three patients were identified who had a positive IMLN, negative axillary SLN biopsy, and underwent a CALND. In all cases, the CALND was negative.
Conclusions |
An axillary SLN biopsy accurately represents the disease status of the axilla in cases with a positive IMLN. CALND can be avoided in the setting of a positive IMLN and a negative axillary SLN biopsy.
Le texte complet de cet article est disponible en PDF.Keywords : Breast cancer, Intramammary lymph node, Sentinel lymph node, Complete node dissection, Staging, Intramammary sentinel lymph node
Plan
Vol 203 - N° 2
P. 151-155 - février 2012 Retour au numéro
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