Sentinel lymph node biopsy in breast cancer: a technical and clinical appraisal.
Identifieur interne : 000B25 ( Main/Exploration ); précédent : 000B24; suivant : 000B26Sentinel lymph node biopsy in breast cancer: a technical and clinical appraisal.
Auteurs : Gianpiero Manca [Royaume-Uni] ; Elisa Tardelli ; Domenico Rubello ; Marta Gennaro ; Maria Cristona Marzola ; Gary J. Cook ; Duccio VolterraniSource :
- Nuclear medicine communications [ 1473-5628 ] ; 2016.
Descripteurs français
- KwdFr :
- Aisselle, Biopsie de noeud lymphatique sentinelle (), Biopsie guidée par l'image (), Femelle, Humains, Lymphadénectomie (), Médecine factuelle, Métastase lymphatique, Noeud lymphatique sentinelle (), Noeud lymphatique sentinelle (anatomopathologie), Noeud lymphatique sentinelle (imagerie diagnostique), Reproductibilité des résultats, Sensibilité et spécificité, Tomoscintigraphie (), Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (traitement médicamenteux).
- MESH :
- anatomopathologie : Noeud lymphatique sentinelle, Tumeurs du sein.
- imagerie diagnostique : Noeud lymphatique sentinelle.
- traitement médicamenteux : Tumeurs du sein.
- Aisselle, Biopsie de noeud lymphatique sentinelle, Biopsie guidée par l'image, Femelle, Humains, Lymphadénectomie, Médecine factuelle, Métastase lymphatique, Noeud lymphatique sentinelle, Reproductibilité des résultats, Sensibilité et spécificité, Tomoscintigraphie, Tumeurs du sein.
English descriptors
- KwdEn :
- Axilla, Breast Neoplasms (drug therapy), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Evidence-Based Medicine, Female, Humans, Image-Guided Biopsy (methods), Lymph Node Excision (methods), Lymphatic Metastasis, Reproducibility of Results, Sensitivity and Specificity, Sentinel Lymph Node (diagnostic imaging), Sentinel Lymph Node (pathology), Sentinel Lymph Node (surgery), Sentinel Lymph Node Biopsy (methods), Tomography, Emission-Computed (methods).
- MESH :
- diagnostic imaging : Sentinel Lymph Node.
- drug therapy : Breast Neoplasms.
- methods : Image-Guided Biopsy, Lymph Node Excision, Sentinel Lymph Node Biopsy, Tomography, Emission-Computed.
- pathology : Breast Neoplasms, Sentinel Lymph Node.
- surgery : Breast Neoplasms, Sentinel Lymph Node.
- Axilla, Evidence-Based Medicine, Female, Humans, Lymphatic Metastasis, Reproducibility of Results, Sensitivity and Specificity.
Abstract
Breast cancer is the most common type of cancer diagnosed in women worldwide. Regional lymph node status is one of the strongest predictors of long-term prognosis in primary breast cancer. Sentinel lymph node biopsy (SLNB) has replaced axillary lymph node dissection as the standard surgical procedure for staging clinically tumor-free regional nodes in patients with early-stage breast cancer. SLNB staging considerably reduces surgical morbidity in terms of shoulder dysfunction and lymphedema, without affecting diagnostic accuracy and prognostic information. Clinicians should not recommend axillary lymph node dissection for women with early-stage breast cancer who have tumor-free findings on SLNB because there is no advantage in terms of overall survival and disease-free survival. Starting from the early 1990s, SLNB has increasingly been used in breast cancer management, but its role is still debated under many clinical circumstances. Moreover, there is still a lack of standardization of the basic technical details of the procedure that is likely to be responsible for the variability found in the false-negative rate of the procedure (5.5-16.7%). In this article, we report the aspects of SLNB that are well established, those that are still debated, and the advancements that have taken place over the last 20 years. We have provided an update on the methodology from both a technical and a clinical point of view in the light of the most recent publications.
DOI: 10.1097/MNM.0000000000000489
PubMed: 26886421
Affiliations:
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Cook</name></author><author><name sortKey="Volterrani, Duccio" sort="Volterrani, Duccio" uniqKey="Volterrani D" first="Duccio" last="Volterrani">Duccio Volterrani</name></author></analytic><series><title level="j">Nuclear medicine communications</title><idno type="eISSN">1473-5628</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms (drug therapy)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Evidence-Based Medicine</term><term>Female</term><term>Humans</term><term>Image-Guided Biopsy (methods)</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Metastasis</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Sentinel Lymph Node (diagnostic imaging)</term><term>Sentinel Lymph Node (pathology)</term><term>Sentinel Lymph Node (surgery)</term><term>Sentinel Lymph Node Biopsy (methods)</term><term>Tomography, Emission-Computed (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle ()</term><term>Biopsie guidée par l'image ()</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie ()</term><term>Médecine factuelle</term><term>Métastase lymphatique</term><term>Noeud lymphatique sentinelle ()</term><term>Noeud lymphatique sentinelle (anatomopathologie)</term><term>Noeud lymphatique sentinelle (imagerie diagnostique)</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Tomoscintigraphie ()</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (traitement médicamenteux)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeud lymphatique sentinelle</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Noeud lymphatique sentinelle</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Image-Guided Biopsy</term><term>Lymph Node Excision</term><term>Sentinel Lymph Node Biopsy</term><term>Tomography, Emission-Computed</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Sentinel Lymph Node</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Axilla</term><term>Evidence-Based Medicine</term><term>Female</term><term>Humans</term><term>Lymphatic Metastasis</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Biopsie guidée par l'image</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Médecine factuelle</term><term>Métastase lymphatique</term><term>Noeud lymphatique sentinelle</term><term>Reproductibilité des résultats</term><term>Sensibilité et spécificité</term><term>Tomoscintigraphie</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast cancer is the most common type of cancer diagnosed in women worldwide. Regional lymph node status is one of the strongest predictors of long-term prognosis in primary breast cancer. Sentinel lymph node biopsy (SLNB) has replaced axillary lymph node dissection as the standard surgical procedure for staging clinically tumor-free regional nodes in patients with early-stage breast cancer. SLNB staging considerably reduces surgical morbidity in terms of shoulder dysfunction and lymphedema, without affecting diagnostic accuracy and prognostic information. Clinicians should not recommend axillary lymph node dissection for women with early-stage breast cancer who have tumor-free findings on SLNB because there is no advantage in terms of overall survival and disease-free survival. Starting from the early 1990s, SLNB has increasingly been used in breast cancer management, but its role is still debated under many clinical circumstances. Moreover, there is still a lack of standardization of the basic technical details of the procedure that is likely to be responsible for the variability found in the false-negative rate of the procedure (5.5-16.7%). In this article, we report the aspects of SLNB that are well established, those that are still debated, and the advancements that have taken place over the last 20 years. We have provided an update on the methodology from both a technical and a clinical point of view in the light of the most recent publications.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Cook, Gary J" sort="Cook, Gary J" uniqKey="Cook G" first="Gary J" last="Cook">Gary J. Cook</name><name sortKey="Gennaro, Marta" sort="Gennaro, Marta" uniqKey="Gennaro M" first="Marta" last="Gennaro">Marta Gennaro</name><name sortKey="Marzola, Maria Cristona" sort="Marzola, Maria Cristona" uniqKey="Marzola M" first="Maria Cristona" last="Marzola">Maria Cristona Marzola</name><name sortKey="Rubello, Domenico" sort="Rubello, Domenico" uniqKey="Rubello D" first="Domenico" last="Rubello">Domenico Rubello</name><name sortKey="Tardelli, Elisa" sort="Tardelli, Elisa" uniqKey="Tardelli E" first="Elisa" last="Tardelli">Elisa Tardelli</name><name sortKey="Volterrani, Duccio" sort="Volterrani, Duccio" uniqKey="Volterrani D" first="Duccio" last="Volterrani">Duccio Volterrani</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Manca, Gianpiero" sort="Manca, Gianpiero" uniqKey="Manca G" first="Gianpiero" last="Manca">Gianpiero Manca</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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