Sentinel Lymph Node Biopsy in Breast Cancer: Indications, Contraindications, and Controversies.
Identifieur interne : 000B35 ( Main/Exploration ); précédent : 000B34; suivant : 000B36Sentinel Lymph Node Biopsy in Breast Cancer: Indications, Contraindications, and Controversies.
Auteurs : Gianpiero Manca [États-Unis] ; Domenico Rubello ; Elisa Tardelli ; Francesco Giammarile ; Sara Mazzarri ; Giuseppe Boni ; Sotirios Chondrogiannis ; Maria Cristina Marzola ; Serena Chiacchio ; Matteo Ghilli ; Manuela Roncella ; Duccio Volterrani ; Patrick M. CollettiSource :
- Clinical nuclear medicine [ 1536-0229 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Tumeurs du sein.
- effets indésirables : Biopsie de noeud lymphatique sentinelle.
- Biopsie de noeud lymphatique sentinelle, Femelle, Humains.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Sentinel Lymph Node Biopsy.
- contraindications : Sentinel Lymph Node Biopsy.
- methods : Sentinel Lymph Node Biopsy.
- pathology : Breast Neoplasms.
- Female, Humans.
Abstract
Axillary lymph node status, a major prognostic factor in early-stage breast cancer, provides information important for individualized surgical treatment. Because imaging techniques have limited sensitivity to detect metastasis in axillary lymph nodes, the axilla must be explored surgically. The histology of all resected nodes at the time of axillary lymph node dissection (ALND) has traditionally been regarded as the most accurate method for assessing metastatic spread of disease to the locoregional lymph nodes. However, ALND may result in lymphedema, nerve injury, shoulder dysfunction, and other short-term and long-term complications limiting functionality and reducing quality of life. Sentinel lymph node biopsy (SLNB) is a less invasive method of assessing nodal involvement. The concept of SLNB is based on the notion that tumors drain in an orderly manner through the lymphatic system. Therefore, the SLN is the first to be affected by metastasis if the tumor has spread, and a tumor-free SLN makes it highly unlikely for other nodes to be affected. Sentinel lymph node biopsy has become the standard of care for primary treatment of early breast cancer and has replaced ALND to stage clinically node-negative patients, thus reducing ALND-associated morbidity. More than 20 years after its introduction, there are still aspects concerning SLNB and ALND that are currently debated. Moreover, SLNB remains an unstandardized procedure surrounded by many unresolved controversies concerning the technique itself. In this article, we review the main indications, contraindications, and controversies of SLNB in breast cancer in the light of the most recent publications.
DOI: 10.1097/RLU.0000000000000985
PubMed: 26447368
Affiliations:
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Maria della Misericordia Hospital, Rovigo, Italy; ‡Biophysique, Faculté de Médecine Lyon Sud, Médecine Nucléaire, Hospices Civils de Lyon, Lyon, France; §Unit of Senology, Hospital University of Pisa, Pisa, Italy; and ∥Department of Radiology, University of Southern California, Los Angeles, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>From the *Regional Center of Nuclear Medicine, Hospital University of Pisa, Pisa; †Department of Nuclear Medicine, S. 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Maria della Misericordia Hospital, Rovigo, Italy; ‡Biophysique, Faculté de Médecine Lyon Sud, Médecine Nucléaire, Hospices Civils de Lyon, Lyon, France; §Unit of Senology, Hospital University of Pisa, Pisa, Italy; and ∥Department of Radiology, University of Southern California, Los Angeles, CA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>From the *Regional Center of Nuclear Medicine, Hospital University of Pisa, Pisa; †Department of Nuclear Medicine, S. Maria della Misericordia Hospital, Rovigo, Italy; ‡Biophysique, Faculté de Médecine Lyon Sud, Médecine Nucléaire, Hospices Civils de Lyon, Lyon, France; §Unit of Senology, Hospital University of Pisa, Pisa, Italy; and ∥Department of Radiology, University of Southern California, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Rubello, Domenico" sort="Rubello, Domenico" uniqKey="Rubello D" first="Domenico" last="Rubello">Domenico Rubello</name></author><author><name sortKey="Tardelli, Elisa" sort="Tardelli, Elisa" uniqKey="Tardelli E" first="Elisa" last="Tardelli">Elisa Tardelli</name></author><author><name sortKey="Giammarile, Francesco" sort="Giammarile, Francesco" uniqKey="Giammarile F" first="Francesco" last="Giammarile">Francesco Giammarile</name></author><author><name sortKey="Mazzarri, Sara" sort="Mazzarri, Sara" uniqKey="Mazzarri S" first="Sara" last="Mazzarri">Sara Mazzarri</name></author><author><name sortKey="Boni, Giuseppe" sort="Boni, Giuseppe" uniqKey="Boni G" first="Giuseppe" last="Boni">Giuseppe Boni</name></author><author><name sortKey="Chondrogiannis, Sotirios" sort="Chondrogiannis, Sotirios" uniqKey="Chondrogiannis S" first="Sotirios" last="Chondrogiannis">Sotirios Chondrogiannis</name></author><author><name sortKey="Marzola, Maria Cristina" sort="Marzola, Maria Cristina" uniqKey="Marzola M" first="Maria Cristina" last="Marzola">Maria Cristina Marzola</name></author><author><name sortKey="Chiacchio, Serena" sort="Chiacchio, Serena" uniqKey="Chiacchio S" first="Serena" last="Chiacchio">Serena Chiacchio</name></author><author><name sortKey="Ghilli, Matteo" sort="Ghilli, Matteo" uniqKey="Ghilli M" first="Matteo" last="Ghilli">Matteo Ghilli</name></author><author><name sortKey="Roncella, Manuela" sort="Roncella, Manuela" uniqKey="Roncella M" first="Manuela" last="Roncella">Manuela Roncella</name></author><author><name sortKey="Volterrani, Duccio" sort="Volterrani, Duccio" uniqKey="Volterrani D" first="Duccio" last="Volterrani">Duccio Volterrani</name></author><author><name sortKey="Colletti, Patrick M" sort="Colletti, Patrick M" uniqKey="Colletti P" first="Patrick M" last="Colletti">Patrick M. Colletti</name></author></analytic><series><title level="j">Clinical nuclear medicine</title><idno type="eISSN">1536-0229</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (pathology)</term><term>Female</term><term>Humans</term><term>Sentinel Lymph Node Biopsy (adverse effects)</term><term>Sentinel Lymph Node Biopsy (contraindications)</term><term>Sentinel Lymph Node Biopsy (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle ()</term><term>Biopsie de noeud lymphatique sentinelle (effets indésirables)</term><term>Femelle</term><term>Humains</term><term>Tumeurs du sein (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="contraindications" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term><term>Femelle</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Axillary lymph node status, a major prognostic factor in early-stage breast cancer, provides information important for individualized surgical treatment. Because imaging techniques have limited sensitivity to detect metastasis in axillary lymph nodes, the axilla must be explored surgically. The histology of all resected nodes at the time of axillary lymph node dissection (ALND) has traditionally been regarded as the most accurate method for assessing metastatic spread of disease to the locoregional lymph nodes. However, ALND may result in lymphedema, nerve injury, shoulder dysfunction, and other short-term and long-term complications limiting functionality and reducing quality of life. Sentinel lymph node biopsy (SLNB) is a less invasive method of assessing nodal involvement. The concept of SLNB is based on the notion that tumors drain in an orderly manner through the lymphatic system. Therefore, the SLN is the first to be affected by metastasis if the tumor has spread, and a tumor-free SLN makes it highly unlikely for other nodes to be affected. Sentinel lymph node biopsy has become the standard of care for primary treatment of early breast cancer and has replaced ALND to stage clinically node-negative patients, thus reducing ALND-associated morbidity. More than 20 years after its introduction, there are still aspects concerning SLNB and ALND that are currently debated. Moreover, SLNB remains an unstandardized procedure surrounded by many unresolved controversies concerning the technique itself. In this article, we review the main indications, contraindications, and controversies of SLNB in breast cancer in the light of the most recent publications.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Boni, Giuseppe" sort="Boni, Giuseppe" uniqKey="Boni G" first="Giuseppe" last="Boni">Giuseppe Boni</name><name sortKey="Chiacchio, Serena" sort="Chiacchio, Serena" uniqKey="Chiacchio S" first="Serena" last="Chiacchio">Serena Chiacchio</name><name sortKey="Chondrogiannis, Sotirios" sort="Chondrogiannis, Sotirios" uniqKey="Chondrogiannis S" first="Sotirios" last="Chondrogiannis">Sotirios Chondrogiannis</name><name sortKey="Colletti, Patrick M" sort="Colletti, Patrick M" uniqKey="Colletti P" first="Patrick M" last="Colletti">Patrick M. Colletti</name><name sortKey="Ghilli, Matteo" sort="Ghilli, Matteo" uniqKey="Ghilli M" first="Matteo" last="Ghilli">Matteo Ghilli</name><name sortKey="Giammarile, Francesco" sort="Giammarile, Francesco" uniqKey="Giammarile F" first="Francesco" last="Giammarile">Francesco Giammarile</name><name sortKey="Marzola, Maria Cristina" sort="Marzola, Maria Cristina" uniqKey="Marzola M" first="Maria Cristina" last="Marzola">Maria Cristina Marzola</name><name sortKey="Mazzarri, Sara" sort="Mazzarri, Sara" uniqKey="Mazzarri S" first="Sara" last="Mazzarri">Sara Mazzarri</name><name sortKey="Roncella, Manuela" sort="Roncella, Manuela" uniqKey="Roncella M" first="Manuela" last="Roncella">Manuela Roncella</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="États-Unis"><region name="Californie"><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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