Sentinel lymph node involvement—a predictor for axillary node status with breast cancer—Has the time come?
Identifieur interne : 00B382 ( Main/Exploration ); précédent : 00B381; suivant : 00B383Sentinel lymph node involvement—a predictor for axillary node status with breast cancer—Has the time come?
Auteurs : M. Koller [Israël] ; D. Barsuk [Israël] ; D. Zippel [Israël] ; S. Engelberg [Israël] ; G. Ben-Ari [Israël] ; M. Z. Papa [Israël]Source :
- European Journal of Surgical Oncology [ 0748-7983 ] ; 1998.
English descriptors
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Abstract
AimsAxillary node dissection for breast cancer is important for staging and its prognostic value. Sentinel nodes are defined as the first nodes into which the primary cancer drains. This study investigates whether identification, removal and pathological examination of these nodes indicates whether the completion of axillary lymphadenectomy is required.MethodsUsing a vital dye injected at the primary tumour site, we were able to identify sentinel nodes in 96 out of 98 women examined.ResultsAn average number of 2.7±1.2 nodes per patient were identified as sentinel nodes. In 83% of cases there was a correlation between the involvement of the sentinel nodes and the rest of the axillary nodes. In 14% of patients the sentinel nodes were the only nodes involved with tumour. In three cases the sentinel nodes were negative, but other axillary nodes were tumour-positive.ConclusionThe major problem in routine application of this method to the decision to perform axillary lymph node dissection (ALND) is the time needed for pathological identification of lymph node involvement by tumour.
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DOI: 10.1016/S0748-7983(98)92827-X
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Zippel</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Breast Cancer Service and Department of Surgical Oncology, Chaim Sheba Medical Center, Tel Hashomer</wicri:regionArea><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Tel Aviv University Medical School, Ramat Aviv</wicri:regionArea><wicri:noRegion>Ramat Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Engelberg, S" sort="Engelberg, S" uniqKey="Engelberg S" first="S." last="Engelberg">S. Engelberg</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Breast Cancer Service and Department of Surgical Oncology, Chaim Sheba Medical Center, Tel Hashomer</wicri:regionArea><wicri:noRegion>Tel Hashomer</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Tel Aviv University Medical School, Ramat Aviv</wicri:regionArea><wicri:noRegion>Ramat Aviv</wicri:noRegion></affiliation></author><author><name sortKey="Ben Ari, G" sort="Ben Ari, G" uniqKey="Ben Ari G" first="G." last="Ben-Ari">G. 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Sentinel nodes are defined as the first nodes into which the primary cancer drains. This study investigates whether identification, removal and pathological examination of these nodes indicates whether the completion of axillary lymphadenectomy is required.MethodsUsing a vital dye injected at the primary tumour site, we were able to identify sentinel nodes in 96 out of 98 women examined.ResultsAn average number of 2.7±1.2 nodes per patient were identified as sentinel nodes. In 83% of cases there was a correlation between the involvement of the sentinel nodes and the rest of the axillary nodes. In 14% of patients the sentinel nodes were the only nodes involved with tumour. In three cases the sentinel nodes were negative, but other axillary nodes were tumour-positive.ConclusionThe major problem in routine application of this method to the decision to perform axillary lymph node dissection (ALND) is the time needed for pathological identification of lymph node involvement by tumour.</div></front></TEI><affiliations><list><country><li>Israël</li></country></list><tree><country name="Israël"><noRegion><name sortKey="Koller, M" sort="Koller, M" uniqKey="Koller M" first="M." last="Koller">M. Koller</name></noRegion><name sortKey="Barsuk, D" sort="Barsuk, D" uniqKey="Barsuk D" first="D." last="Barsuk">D. Barsuk</name><name sortKey="Barsuk, D" sort="Barsuk, D" uniqKey="Barsuk D" first="D." last="Barsuk">D. Barsuk</name><name sortKey="Ben Ari, G" sort="Ben Ari, G" uniqKey="Ben Ari G" first="G." last="Ben-Ari">G. Ben-Ari</name><name sortKey="Ben Ari, G" sort="Ben Ari, G" uniqKey="Ben Ari G" first="G." last="Ben-Ari">G. 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