The predictive value of methylene blue dye as a single technique in breast cancer sentinel node biopsy: a study from Dharmais Cancer Hospital
Identifieur interne : 000087 ( Main/Exploration ); précédent : 000086; suivant : 000088The predictive value of methylene blue dye as a single technique in breast cancer sentinel node biopsy: a study from Dharmais Cancer Hospital
Auteurs : Bayu Brahma [Indonésie] ; Rizky Ifandriani Putri [Indonésie] ; Ramadhan Karsono [Indonésie] ; Bob Andinata [Indonésie] ; Walta Gautama [Indonésie] ; Lenny Sari [Indonésie] ; Samuel J. Haryono [Indonésie]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2017.
Abstract
Axillary lymph node dissection (ALND) has been the standard treatment of breast cancer axillary staging in Indonesia. The limited facilities of radioisotope tracer and isosulfan or patent blue dye (PBD) have been the major obstacles to perform sentinel node biopsy (SNB) in our country. We studied the application of 1% methylene blue dye (MBD) alone for SNB to overcome the problem.
This prospective study enrolled 108 patients with suspicious malignant lesions or breast cancer stages I–III. SNB was performed using 2–5 cc of 1% MBD and proceeded with ALND. The histopathology results of sentinel nodes (SNs) were compared with axillary lymph nodes (ALNs) for diagnostic value assessments.
There were 96 patients with invasive carcinoma from July 2012 to September 2014 who were included in the final analysis. The median age was 50 (25–69) years, and the median pathological tumor size was 3 cm (1–10). Identification rate of SNs was 91.7%, and the median number of the identified SNs was 2 (1–8). Sentinel node metastasis was found in 53.4% cases and 89.4% of them were macrometastases. The negative predictive value (NPV) of SNs to predict axillary metastasis was 90% (95% CI, 81–99%). There were no anaphylactic reactions, but we found 2 cases with skin necrosis.
The application of 1% MBD as a single technique in breast cancer SNB has favorable identification rates and predictive values. It can be used for axillary staging, but nevertheless the technique should be applied with attention to the tumor size and grade to avoid false negative results.
Url:
DOI: 10.1186/s12957-017-1113-8
PubMed: 28173818
PubMed Central: 5297091
Affiliations:
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Parman Kav. 84-86, Jakarta, 11420 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. 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Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation><affiliation><nlm:aff id="Aff3">Department of Surgical Oncology, Bogor City General Hospital, Jalan DR. Semeru No. 120, West Bogor, West Java 16112 Indonesia</nlm:aff><wicri:noCountry code="subfield">West Java 16112 Indonesia</wicri:noCountry></affiliation></author><author><name sortKey="Putri, Rizky Ifandriani" sort="Putri, Rizky Ifandriani" uniqKey="Putri R" first="Rizky Ifandriani" last="Putri">Rizky Ifandriani Putri</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Anatomical Pathology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420, Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Anatomical Pathology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420</wicri:regionArea><wicri:noRegion>11420</wicri:noRegion></affiliation></author><author><name sortKey="Karsono, Ramadhan" sort="Karsono, Ramadhan" uniqKey="Karsono R" first="Ramadhan" last="Karsono">Ramadhan Karsono</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Departement of Surgical Oncology, Mochtar Riady Comprehensive Cancer Center (MRCCC) Siloam Hospital, Jalan Garnisun Dalam No. 2-3, Semanggi, Central Jakarta, 12930 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Departement of Surgical Oncology, Mochtar Riady Comprehensive Cancer Center (MRCCC) Siloam Hospital, Jalan Garnisun Dalam No. 2-3, Semanggi, Central Jakarta</wicri:regionArea><wicri:noRegion>Central Jakarta</wicri:noRegion></affiliation></author><author><name sortKey="Andinata, Bob" sort="Andinata, Bob" uniqKey="Andinata B" first="Bob" last="Andinata">Bob Andinata</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation></author><author><name sortKey="Gautama, Walta" sort="Gautama, Walta" uniqKey="Gautama W" first="Walta" last="Gautama">Walta Gautama</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation></author><author><name sortKey="Sari, Lenny" sort="Sari, Lenny" uniqKey="Sari L" first="Lenny" last="Sari">Lenny Sari</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Anatomical Pathology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420, Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Anatomical Pathology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420</wicri:regionArea><wicri:noRegion>11420</wicri:noRegion></affiliation></author><author><name sortKey="Haryono, Samuel J" sort="Haryono, Samuel J" uniqKey="Haryono S" first="Samuel J." last="Haryono">Samuel J. Haryono</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta, 11420 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Department of Surgical Oncology, Dharmais Cancer Hospital, Jalan. Let. Jend. S. Parman Kav. 84-86, Jakarta</wicri:regionArea><wicri:noRegion>Jakarta</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Departement of Surgical Oncology, Mochtar Riady Comprehensive Cancer Center (MRCCC) Siloam Hospital, Jalan Garnisun Dalam No. 2-3, Semanggi, Central Jakarta, 12930 Indonesia</nlm:aff><country xml:lang="fr">Indonésie</country><wicri:regionArea>Departement of Surgical Oncology, Mochtar Riady Comprehensive Cancer Center (MRCCC) Siloam Hospital, Jalan Garnisun Dalam No. 2-3, Semanggi, Central Jakarta</wicri:regionArea><wicri:noRegion>Central Jakarta</wicri:noRegion></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Axillary lymph node dissection (ALND) has been the standard treatment of breast cancer axillary staging in Indonesia. The limited facilities of radioisotope tracer and isosulfan or patent blue dye (PBD) have been the major obstacles to perform sentinel node biopsy (SNB) in our country. We studied the application of 1% methylene blue dye (MBD) alone for SNB to overcome the problem.</p></sec><sec><title>Methods</title><p>This prospective study enrolled 108 patients with suspicious malignant lesions or breast cancer stages I–III. SNB was performed using 2–5 cc of 1% MBD and proceeded with ALND. The histopathology results of sentinel nodes (SNs) were compared with axillary lymph nodes (ALNs) for diagnostic value assessments.</p></sec><sec><title>Results</title><p>There were 96 patients with invasive carcinoma from July 2012 to September 2014 who were included in the final analysis. The median age was 50 (25–69) years, and the median pathological tumor size was 3 cm (1–10). Identification rate of SNs was 91.7%, and the median number of the identified SNs was 2 (1–8). Sentinel node metastasis was found in 53.4% cases and 89.4% of them were macrometastases. The negative predictive value (NPV) of SNs to predict axillary metastasis was 90% (95% CI, 81–99%). There were no anaphylactic reactions, but we found 2 cases with skin necrosis.</p></sec><sec><title>Conclusions</title><p>The application of 1% MBD as a single technique in breast cancer SNB has favorable identification rates and predictive values. It can be used for axillary staging, but nevertheless the technique should be applied with attention to the tumor size and grade to avoid false negative results.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Suzanna, E" uniqKey="Suzanna E">E Suzanna</name></author><author><name sortKey="Sirait, T" uniqKey="Sirait T">T Sirait</name></author><author><name sortKey="Rahayu, Ps" uniqKey="Rahayu P">PS Rahayu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Youlden, Dr" uniqKey="Youlden D">DR Youlden</name></author><author><name sortKey="Cramb, Sm" uniqKey="Cramb S">SM Cramb</name></author><author><name sortKey="Yip, Ch" uniqKey="Yip C">CH Yip</name></author><author><name sortKey="Baade, Pd" uniqKey="Baade P">PD Baade</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Giuliano, Ae" uniqKey="Giuliano A">AE Giuliano</name></author><author><name sortKey="Han, Sh" 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first="Bob" last="Andinata">Bob Andinata</name><name sortKey="Gautama, Walta" sort="Gautama, Walta" uniqKey="Gautama W" first="Walta" last="Gautama">Walta Gautama</name><name sortKey="Haryono, Samuel J" sort="Haryono, Samuel J" uniqKey="Haryono S" first="Samuel J." last="Haryono">Samuel J. Haryono</name><name sortKey="Haryono, Samuel J" sort="Haryono, Samuel J" uniqKey="Haryono S" first="Samuel J." last="Haryono">Samuel J. Haryono</name><name sortKey="Karsono, Ramadhan" sort="Karsono, Ramadhan" uniqKey="Karsono R" first="Ramadhan" last="Karsono">Ramadhan Karsono</name><name sortKey="Karsono, Ramadhan" sort="Karsono, Ramadhan" uniqKey="Karsono R" first="Ramadhan" last="Karsono">Ramadhan Karsono</name><name sortKey="Putri, Rizky Ifandriani" sort="Putri, Rizky Ifandriani" uniqKey="Putri R" first="Rizky Ifandriani" last="Putri">Rizky Ifandriani Putri</name><name sortKey="Sari, Lenny" sort="Sari, Lenny" uniqKey="Sari L" first="Lenny" last="Sari">Lenny Sari</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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