Using the intraoperative hand held probe without lymphoscintigraphy or using only dye correlates with higher sensory morbidity following sentinel lymph node biopsy in breast cancer: A review of the literature
Identifieur interne : 007E36 ( Main/Exploration ); précédent : 007E35; suivant : 007E37Using the intraoperative hand held probe without lymphoscintigraphy or using only dye correlates with higher sensory morbidity following sentinel lymph node biopsy in breast cancer: A review of the literature
Auteurs : Suk Chul Kim [États-Unis] ; Dong Wook Kim [États-Unis] ; Renee M. Moadel [États-Unis] ; Chun K. Kim [États-Unis] ; Samprit Chatterjee [États-Unis] ; Michail K. Shafir [États-Unis] ; Arlene Travis [États-Unis] ; Josef Machac [États-Unis] ; Borys R. Krynyckyi [États-Unis]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2005.
Abstract
There are no studies that have directly investigated the incremental reduction in sensory morbidity that lymphoscintigraphy images (LS) and triangulated body marking or other skin marking techniques provide during sentinel lymph node biopsy (SLNB) compared to using only the probe without LS and skin marking or using only dye. However, an indirect assessment of this potential for additional sensory morbidity reduction is possible by extracting morbidity data from studies comparing the morbidity of SLNB to that of axillary lymph node dissection.
A literature search yielded 13 articles that had data on sensory morbidity at specific time points on pain, numbness or paresthesia from SLNB that used radiotracer and probe or used only dye as a primary method of finding the sentinel node (SN). Of these, 10 utilized LS, while 3 did not utilize LS. By matching the data in studies not employing LS to the studies that did, comparisons regarding the percentage of patients experiencing pain, numbness/paresthesia after SLNB could be reasonably attempted at a cutoff of 9 months.
In the 7 studies reporting on pain after 9 months (> 9 months) that used LS (1347 patients), 13.8% of patients reported these symptoms, while in the one study that did not use LS (143 patients), 28.7% of patients reported these symptoms at > 9 months (P < 0.0001). In the 6 studies reporting on numbness and/or paresthesia at > 9 months that used LS (601 patients), 12.5% of patients reported these symptoms, while in the 3 studies that did not use LS (229 patients), 23.1% of patients reported these symptoms at > 9 months (P = 0.0002). Similar trends were also noted for all these symptoms at ≤ 9 months.
Because of variations in techniques and time of assessing morbidity, direct comparisons between studies are difficult. Nevertheless at a minimum, a clear trend is present: having the LS images and skin markings to assist during SLNB appears to yield more favorable morbidity outcomes for the patients compared to performing SLNB with only the probe or performing SLNB with dye alone. These results are extremely pertinent, as the main reason for performing SLNB itself in the first place is to achieve reduced morbidity.
Url:
DOI: 10.1186/1477-7819-3-64
PubMed: 16194276
PubMed Central: 1262786
Affiliations:
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Kim</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Chatterjee, Samprit" sort="Chatterjee, Samprit" uniqKey="Chatterjee S" first="Samprit" last="Chatterjee">Samprit Chatterjee</name><affiliation wicri:level="2"><nlm:aff id="I3">Department of Health Policy, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Policy, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Shafir, Michail K" sort="Shafir, Michail K" uniqKey="Shafir M" first="Michail K" last="Shafir">Michail K. 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Krynyckyi</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16194276</idno><idno type="pmc">1262786</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1262786</idno><idno type="RBID">PMC:1262786</idno><idno type="doi">10.1186/1477-7819-3-64</idno><date when="2005">2005</date><idno type="wicri:Area/Pmc/Corpus">001C25</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001C25</idno><idno type="wicri:Area/Pmc/Curation">001C24</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001C24</idno><idno type="wicri:Area/Pmc/Checkpoint">003D12</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003D12</idno><idno type="wicri:Area/Ncbi/Merge">001F80</idno><idno type="wicri:Area/Ncbi/Curation">001F80</idno><idno type="wicri:Area/Ncbi/Checkpoint">001F80</idno><idno type="wicri:Area/Main/Merge">008035</idno><idno type="wicri:Area/Main/Curation">007E36</idno><idno type="wicri:Area/Main/Exploration">007E36</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Using the intraoperative hand held probe without lymphoscintigraphy or using only dye correlates with higher sensory morbidity following sentinel lymph node biopsy in breast cancer: A review of the literature</title><author><name sortKey="Kim, Suk Chul" sort="Kim, Suk Chul" uniqKey="Kim S" first="Suk Chul" last="Kim">Suk Chul Kim</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Kim, Dong Wook" sort="Kim, Dong Wook" uniqKey="Kim D" first="Dong Wook" last="Kim">Dong Wook Kim</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Moadel, Renee M" sort="Moadel, Renee M" uniqKey="Moadel R" first="Renee M" last="Moadel">Renee M. Moadel</name><affiliation wicri:level="2"><nlm:aff id="I2">Department of Nuclear Medicine, Albert Einstein College of Medicine of Yeshiva University, and the Montefiore Medical Center, Bronx, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Nuclear Medicine, Albert Einstein College of Medicine of Yeshiva University, and the Montefiore Medical Center, Bronx, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Kim, Chun K" sort="Kim, Chun K" uniqKey="Kim C" first="Chun K" last="Kim">Chun K. Kim</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Chatterjee, Samprit" sort="Chatterjee, Samprit" uniqKey="Chatterjee S" first="Samprit" last="Chatterjee">Samprit Chatterjee</name><affiliation wicri:level="2"><nlm:aff id="I3">Department of Health Policy, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Policy, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Shafir, Michail K" sort="Shafir, Michail K" uniqKey="Shafir M" first="Michail K" last="Shafir">Michail K. Shafir</name><affiliation wicri:level="2"><nlm:aff id="I4">Department of Surgery, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Travis, Arlene" sort="Travis, Arlene" uniqKey="Travis A" first="Arlene" last="Travis">Arlene Travis</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Machac, Josef" sort="Machac, Josef" uniqKey="Machac J" first="Josef" last="Machac">Josef Machac</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Krynyckyi, Borys R" sort="Krynyckyi, Borys R" uniqKey="Krynyckyi B" first="Borys R" last="Krynyckyi">Borys R. Krynyckyi</name><affiliation wicri:level="2"><nlm:aff id="I1">Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>There are no studies that have directly investigated the incremental reduction in sensory morbidity that lymphoscintigraphy images (LS) and triangulated body marking or other skin marking techniques provide during sentinel lymph node biopsy (SLNB) compared to using only the probe without LS and skin marking or using only dye. However, an indirect assessment of this potential for additional sensory morbidity reduction is possible by extracting morbidity data from studies comparing the morbidity of SLNB to that of axillary lymph node dissection.</p></sec><sec sec-type="methods"><title>Methods</title><p>A literature search yielded 13 articles that had data on sensory morbidity at specific time points on pain, numbness or paresthesia from SLNB that used radiotracer and probe or used only dye as a primary method of finding the sentinel node (SN). Of these, 10 utilized LS, while 3 did not utilize LS. By matching the data in studies not employing LS to the studies that did, comparisons regarding the percentage of patients experiencing pain, numbness/paresthesia after SLNB could be reasonably attempted at a cutoff of 9 months.</p></sec><sec><title>Results</title><p>In the 7 studies reporting on pain after 9 months (> 9 months) that used LS (1347 patients), 13.8% of patients reported these symptoms, while in the one study that did not use LS (143 patients), 28.7% of patients reported these symptoms at > 9 months (P < 0.0001). In the 6 studies reporting on numbness and/or paresthesia at > 9 months that used LS (601 patients), 12.5% of patients reported these symptoms, while in the 3 studies that did not use LS (229 patients), 23.1% of patients reported these symptoms at > 9 months (P = 0.0002). Similar trends were also noted for all these symptoms at ≤ 9 months.</p></sec><sec><title>Conclusion</title><p>Because of variations in techniques and time of assessing morbidity, direct comparisons between studies are difficult. Nevertheless at a minimum, a clear trend is present: having the LS images and skin markings to assist during SLNB appears to yield more favorable morbidity outcomes for the patients compared to performing SLNB with only the probe or performing SLNB with dye alone. These results are extremely pertinent, as the main reason for performing SLNB itself in the first place is to achieve reduced morbidity.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Kim, Suk Chul" sort="Kim, Suk Chul" uniqKey="Kim S" first="Suk Chul" last="Kim">Suk Chul Kim</name></region><name sortKey="Chatterjee, Samprit" sort="Chatterjee, Samprit" uniqKey="Chatterjee S" first="Samprit" last="Chatterjee">Samprit Chatterjee</name><name sortKey="Kim, Chun K" sort="Kim, Chun K" uniqKey="Kim C" first="Chun K" last="Kim">Chun K. Kim</name><name sortKey="Kim, Dong Wook" sort="Kim, Dong Wook" uniqKey="Kim D" first="Dong Wook" last="Kim">Dong Wook Kim</name><name sortKey="Krynyckyi, Borys R" sort="Krynyckyi, Borys R" uniqKey="Krynyckyi B" first="Borys R" last="Krynyckyi">Borys R. Krynyckyi</name><name sortKey="Machac, Josef" sort="Machac, Josef" uniqKey="Machac J" first="Josef" last="Machac">Josef Machac</name><name sortKey="Moadel, Renee M" sort="Moadel, Renee M" uniqKey="Moadel R" first="Renee M" last="Moadel">Renee M. Moadel</name><name sortKey="Shafir, Michail K" sort="Shafir, Michail K" uniqKey="Shafir M" first="Michail K" last="Shafir">Michail K. Shafir</name><name sortKey="Travis, Arlene" sort="Travis, Arlene" uniqKey="Travis A" first="Arlene" last="Travis">Arlene Travis</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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