The use of isotope injections in sentinel node biopsy for breast cancer: are the 1- and 2-day protocols equally effective?
Identifieur interne : 001695 ( Main/Exploration ); précédent : 001694; suivant : 001696The use of isotope injections in sentinel node biopsy for breast cancer: are the 1- and 2-day protocols equally effective?
Auteurs : Nazera Dodia [Royaume-Uni] ; Deena El-Sharief ; Cliona C. Kirwan [Royaume-Uni]Source :
- SpringerPlus [ 2193-1801 ] ; 2015.
Abstract
Sentinel lymph nodes are mapped using 99mTechnetium, injected on day of surgery (1-day protocol) or day before (2-day protocol). This retrospective cohort study compares efficacy between the two protocols. Histopathology for all unilateral sentinel lymph node biopsies (March 2012–March 2013) in a single centre were reviewed. Number of sentinel lymph nodes, non-sentinel lymph nodes and pathology was compared. 2/270 (0.7 %) in 1-day protocol and 8/192 (4 %) in 2-day protocol had no sentinel lymph nodes removed (p = 0.02). The median (range) number of sentinel lymph nodes removed per patient was 2 (0–7) and 1 (0–11) in the 1- and 2-day protocols respectively (p = 0.08). There was a trend for removing more non-sentinel lymph nodes in 2-day protocol [1-day: 52/270 (19 %); 2-day: 50/192 (26 %), p = 0.07]. Using 2-day, sentinel lymph node identification failure rate is higher, although within acceptable rates. The 1 and 2 day protocols are both effective, therefore choice of protocol should be driven by patient convenience and hospital efficiency. However, this study raises the possibility that 1-day may be preferable when higher sentinel lymph node count is beneficial, for example following neoadjuvant chemotherapy.
Url:
DOI: 10.1186/s40064-015-1314-y
PubMed: 26389020
PubMed Central: 4571031
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The use of isotope injections in sentinel node biopsy for breast cancer: are the 1- and 2-day protocols equally effective?</title><author><name sortKey="Dodia, Nazera" sort="Dodia, Nazera" uniqKey="Dodia N" first="Nazera" last="Dodia">Nazera Dodia</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Manchester Medical School, University of Manchester, Stopford Building, Oxford Rd, Manchester, M13 9PT UK</nlm:aff><orgName type="university">Université de Manchester</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Manchester</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author><author><name sortKey="El Sharief, Deena" sort="El Sharief, Deena" uniqKey="El Sharief D" first="Deena" last="El-Sharief">Deena El-Sharief</name><affiliation><nlm:aff id="Aff2">Department of Breast Surgery, University Hospital of South Manchester, Southmoor Road, Wythenshawe, Manchester, M23 9LT UK</nlm:aff><wicri:noCountry code="subfield">M23 9LT UK</wicri:noCountry></affiliation></author><author><name sortKey="Kirwan, Cliona C" sort="Kirwan, Cliona C" uniqKey="Kirwan C" first="Cliona C." last="Kirwan">Cliona C. Kirwan</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Institute of Cancer Sciences, University of Manchester, University Hospital of South Manchester, Southmoor Road, Wythenshawe, Manchester, M23 9LT UK</nlm:aff><orgName type="university">Université de Manchester</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Manchester</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26389020</idno><idno type="pmc">4571031</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571031</idno><idno type="RBID">PMC:4571031</idno><idno type="doi">10.1186/s40064-015-1314-y</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000E55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E55</idno><idno type="wicri:Area/Pmc/Curation">000E54</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000E54</idno><idno type="wicri:Area/Pmc/Checkpoint">000D70</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000D70</idno><idno type="wicri:Area/Ncbi/Merge">007907</idno><idno type="wicri:Area/Ncbi/Curation">007907</idno><idno type="wicri:Area/Ncbi/Checkpoint">007907</idno><idno type="wicri:Area/Main/Merge">001697</idno><idno type="wicri:Area/Main/Curation">001695</idno><idno type="wicri:Area/Main/Exploration">001695</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The use of isotope injections in sentinel node biopsy for breast cancer: are the 1- and 2-day protocols equally effective?</title><author><name sortKey="Dodia, Nazera" sort="Dodia, Nazera" uniqKey="Dodia N" first="Nazera" last="Dodia">Nazera Dodia</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Manchester Medical School, University of Manchester, Stopford Building, Oxford Rd, Manchester, M13 9PT UK</nlm:aff><orgName type="university">Université de Manchester</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Manchester</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author><author><name sortKey="El Sharief, Deena" sort="El Sharief, Deena" uniqKey="El Sharief D" first="Deena" last="El-Sharief">Deena El-Sharief</name><affiliation><nlm:aff id="Aff2">Department of Breast Surgery, University Hospital of South Manchester, Southmoor Road, Wythenshawe, Manchester, M23 9LT UK</nlm:aff><wicri:noCountry code="subfield">M23 9LT UK</wicri:noCountry></affiliation></author><author><name sortKey="Kirwan, Cliona C" sort="Kirwan, Cliona C" uniqKey="Kirwan C" first="Cliona C." last="Kirwan">Cliona C. Kirwan</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Institute of Cancer Sciences, University of Manchester, University Hospital of South Manchester, Southmoor Road, Wythenshawe, Manchester, M23 9LT UK</nlm:aff><orgName type="university">Université de Manchester</orgName><country>Royaume-Uni</country><placeName><settlement type="city">Manchester</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Grand Manchester</region></placeName></affiliation></author></analytic><series><title level="j">SpringerPlus</title><idno type="eISSN">2193-1801</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Sentinel lymph nodes are mapped using <sup>99m</sup>Technetium, injected on day of surgery (1-day protocol) or day before (2-day protocol). This retrospective cohort study compares efficacy between the two protocols. Histopathology for all unilateral sentinel lymph node biopsies (March 2012–March 2013) in a single centre were reviewed. Number of sentinel lymph nodes, non-sentinel lymph nodes and pathology was compared. 2/270 (0.7 %) in 1-day protocol and 8/192 (4 %) in 2-day protocol had no sentinel lymph nodes removed (p = 0.02). The median (range) number of sentinel lymph nodes removed per patient was 2 (0–7) and 1 (0–11) in the 1- and 2-day protocols respectively (p = 0.08). There was a trend for removing more non-sentinel lymph nodes in 2-day protocol [1-day: 52/270 (19 %); 2-day: 50/192 (26 %), p = 0.07]. Using 2-day, sentinel lymph node identification failure rate is higher, although within acceptable rates. The 1 and 2 day protocols are both effective, therefore choice of protocol should be driven by patient convenience and hospital efficiency. 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Nunez</name></author><author><name sortKey="Yeh, Sd" uniqKey="Yeh S">SD Yeh</name></author><author><name sortKey="Larson, Sm" uniqKey="Larson S">SM Larson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li></settlement><orgName><li>Université de Manchester</li></orgName></list><tree><noCountry><name sortKey="El Sharief, Deena" sort="El Sharief, Deena" uniqKey="El Sharief D" first="Deena" last="El-Sharief">Deena El-Sharief</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Dodia, Nazera" sort="Dodia, Nazera" uniqKey="Dodia N" first="Nazera" last="Dodia">Nazera Dodia</name></region><name sortKey="Kirwan, Cliona C" sort="Kirwan, Cliona C" uniqKey="Kirwan C" first="Cliona C." last="Kirwan">Cliona C. 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