Sentinel lymph node mapping in early‐stage breast cancer: Technical issues and results with vital blue dye mapping and radioguided surgery
Identifieur interne : 00A489 ( Main/Exploration ); précédent : 00A488; suivant : 00A490Sentinel lymph node mapping in early‐stage breast cancer: Technical issues and results with vital blue dye mapping and radioguided surgery
Auteurs : Giuseppe Canavese [Italie] ; Marco Gipponi [Italie] ; Alessandra Catturich [Italie] ; Carmine Di Somma [Italie] ; Carlo Vecchio [Italie] ; Francesco Rosato [Italie] ; Pierluigi Percivale [Italie] ; Luciano Moresco [Italie] ; Guido Nicol [Italie] ; Bruno Spina [Italie] ; Giuseppe Villa [Italie] ; Pietro Bianchi [Italie] ; Fausto Badellino [Italie]Source :
- Journal of Surgical Oncology [ 0022-4790 ] ; 2000-05.
Abstract
Axillary lymph node status is the most important prognostic factor in patients with operable breast cancer. Recent studies have demonstrated the possibility of identifying the sentinel lymph node (sN) as a reliable predictor of axillary lymph node status in both cutaneous melanoma and breast cancer. Sentinel lymph node identification proved feasible by either peritumoral dye injection (Patent Blue‐V) or radiodetection, with identification rates of 65–97% and 92–98%, respectively. However, some important issues need further definition, namely (a) optimization of the technique for intraoperative detection of the sN, (b) predictive value of the sN with regard to axillary lymph node status, and (c) reliability of intraoperative histology of the sN. We reviewed our experience in sN detection in patients with stage I–II breast cancer to assess the feasibility and accuracy of lymphatic mapping, by vital blue dye or radioguided surgery, and sN histology as a predictor of axillary lymph node status.
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DOI: 10.1002/1096-9098(200005)74:1<61::AID-JSO14>3.0.CO;2-9
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Benzi, 10, 16132 Genoa</wicri:regionArea><wicri:noRegion>16132 Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Gipponi, Marco" sort="Gipponi, Marco" uniqKey="Gipponi M" first="Marco" last="Gipponi">Marco Gipponi</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Surgical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Catturich, Alessandra" sort="Catturich, Alessandra" uniqKey="Catturich A" first="Alessandra" last="Catturich">Alessandra Catturich</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Surgical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Di Somma, Carmine" sort="Di Somma, Carmine" uniqKey="Di Somma C" first="Carmine" 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Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Percivale, Pierluigi" sort="Percivale, Pierluigi" uniqKey="Percivale P" first="Pierluigi" last="Percivale">Pierluigi Percivale</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Experimental and Clinical Oncology, University of Genoa, School of Medicine, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Moresco, Luciano" sort="Moresco, Luciano" uniqKey="Moresco L" first="Luciano" last="Moresco">Luciano Moresco</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Experimental and Clinical Oncology, University of Genoa, School of Medicine, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Nicol, Guido" sort="Nicol, Guido" uniqKey="Nicol G" first="Guido" 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Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Bianchi, Pietro" sort="Bianchi, Pietro" uniqKey="Bianchi P" first="Pietro" last="Bianchi">Pietro Bianchi</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Nuclear Medicine Service, DIMI, University of Genoa, School of Medicine, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Badellino, Fausto" sort="Badellino, Fausto" uniqKey="Badellino F" first="Fausto" last="Badellino">Fausto Badellino</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Surgical Oncology, Istituto Nazionale per la Ricerca sul Cancro, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Surgical Oncology</title><title level="j" type="alt">JOURNAL OF SURGICAL ONCOLOGY</title><idno type="ISSN">0022-4790</idno><idno type="eISSN">1096-9098</idno><imprint><biblScope unit="vol">74</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="61">61</biblScope><biblScope unit="page" to="68">68</biblScope><biblScope unit="page-count">8</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2000-05">2000-05</date></imprint><idno type="ISSN">0022-4790</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-4790</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Axillary lymph node status is the most important prognostic factor in patients with operable breast cancer. Recent studies have demonstrated the possibility of identifying the sentinel lymph node (sN) as a reliable predictor of axillary lymph node status in both cutaneous melanoma and breast cancer. Sentinel lymph node identification proved feasible by either peritumoral dye injection (Patent Blue‐V) or radiodetection, with identification rates of 65–97% and 92–98%, respectively. However, some important issues need further definition, namely (a) optimization of the technique for intraoperative detection of the sN, (b) predictive value of the sN with regard to axillary lymph node status, and (c) reliability of intraoperative histology of the sN. We reviewed our experience in sN detection in patients with stage I–II breast cancer to assess the feasibility and accuracy of lymphatic mapping, by vital blue dye or radioguided surgery, and sN histology as a predictor of axillary lymph node status.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Canavese, Giuseppe" sort="Canavese, Giuseppe" uniqKey="Canavese G" first="Giuseppe" last="Canavese">Giuseppe Canavese</name></noRegion><name sortKey="Badellino, Fausto" sort="Badellino, Fausto" uniqKey="Badellino F" first="Fausto" last="Badellino">Fausto Badellino</name><name sortKey="Bianchi, Pietro" sort="Bianchi, Pietro" uniqKey="Bianchi P" first="Pietro" last="Bianchi">Pietro Bianchi</name><name sortKey="Canavese, Giuseppe" sort="Canavese, Giuseppe" uniqKey="Canavese G" first="Giuseppe" last="Canavese">Giuseppe Canavese</name><name sortKey="Catturich, Alessandra" sort="Catturich, Alessandra" uniqKey="Catturich A" first="Alessandra" last="Catturich">Alessandra Catturich</name><name sortKey="Di Somma, Carmine" sort="Di Somma, Carmine" uniqKey="Di Somma C" first="Carmine" last="Di Somma">Carmine Di Somma</name><name sortKey="Gipponi, Marco" sort="Gipponi, Marco" uniqKey="Gipponi M" first="Marco" last="Gipponi">Marco Gipponi</name><name sortKey="Moresco, Luciano" sort="Moresco, Luciano" uniqKey="Moresco L" first="Luciano" last="Moresco">Luciano Moresco</name><name sortKey="Nicol, Guido" sort="Nicol, Guido" uniqKey="Nicol G" first="Guido" last="Nicol">Guido Nicol</name><name sortKey="Percivale, Pierluigi" sort="Percivale, Pierluigi" uniqKey="Percivale P" first="Pierluigi" last="Percivale">Pierluigi Percivale</name><name sortKey="Rosato, Francesco" sort="Rosato, Francesco" uniqKey="Rosato F" first="Francesco" last="Rosato">Francesco Rosato</name><name sortKey="Spina, Bruno" sort="Spina, Bruno" uniqKey="Spina B" first="Bruno" last="Spina">Bruno Spina</name><name sortKey="Vecchio, Carlo" sort="Vecchio, Carlo" uniqKey="Vecchio C" first="Carlo" last="Vecchio">Carlo Vecchio</name><name sortKey="Villa, Giuseppe" sort="Villa, Giuseppe" uniqKey="Villa G" first="Giuseppe" last="Villa">Giuseppe Villa</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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