![]() ![]() Surgical resection and radiolocalization of the sentinel lymph node in breast cancer using a gamma probe. Lymphatic mapping and sentinel lymphadenectomy for breast cancer. Giuliano AE, Kirgan DM, Guenther JM, Morton DL. Technical details of intraoperative lymphatic mapping for early stage melanoma. Morton DL, Wen D‑R, Wong JH, Economou JS, Cagle LA, Storm FK, et al. The evolution of sentinel node biopsy for breast cancer: personal experience. ![]() An approach for the treatment of penile carcinoma. Observations on a “sentinel node” in cancer of the parotid. Gould EA, Winship T, Philbin PH, Kerr HH. Turkish Federation of Breast Diseases Associations. The adventure of axillary treatment in early stage breast cancer. Recent advances in sentinel node biopsy in breast surgery. Clinical value of postoperative sentinel lymph node biopsy. He Z, Zhou Y, Wang F, Xu Q, Zhang W, Ni X, et al. Sentinel node biopsy for breast cancer: past, present, and future. Conclusionįurther research should be conducted to help resolve the clinical issues which are still debatable and to provide bases for improving the future trends which are progressing towards limiting the role of axillary dissection and axillary surgery to the minimum required level. They are all explained in the current article, in addition to the ongoing trials and the future aspects of SLNB in breast cancer. Many debates faced the researchers throughout the SLNB journey. This applies to specimen processing techniques as well. Various mapping techniques can be used for SLN localization, rendering oncology centers that have variable capabilities and preparations able to perform the procedure. ResultsĪdoption of sentinel lymph node biopsy as a standard axillary staging procedure was a marvelous trend that helped to decrease the complications of axillary dissection and significantly improve the quality of life of patients with breast cancer. We carried out a comprehensive literature review focusing on the journey of the use of sentinel lymph node biopsy (SLNB) in breast cancer from its start until its current station, including the variable clinical applications, the current debates, and the future issues. To be accepted as a standard of care, it had to pass successfully through a long journey which started in the early 1990s. © 2007 Wiley-Liss, Inc.Sentinel lymphadenectomy has replaced axillary lymph node dissection as a staging tool in early breast cancer. Terminating the procedure at the 4th node may lower the cost of the procedure and reduce morbidity. Conclusion Among patients undergoing SLN biopsy for breast cancer, the only positive SLN is rarely identified in the 4th or higher node. Ninety-eight percent (231/235) of patients with lymph node metastases were identified by the 3rd SLN while 100% were identified by the 4th SLN. Eighteen percent of patients (132/725) at University of Michigan and 22% (103/472) at Mayo Clinic had a positive SLN. Approximately 42% of patients had three or more lymph nodes removed, while 19% had four or more lymph nodes removed. ![]() Results The mean number of SLNs removed per patient was 2.5 (range 1–9). Surgeons removed all SLNs until counts within the axilla were less than 10% of the highest node ex vivo and recorded the order in which they were removed. ![]() Methods One thousand one hundred ninety-seven patients from University of Michigan and the Mayo Clinic undergoing SLN biopsy formed the study population. We sought to determine whether there is a point where the surgeon can terminate the procedure without sacrificing accuracy. AbstractIntroduction Sentinel lymph node (SLN) biopsy using blue dye and radioisotope often results in the removal of multiple SLNs. ![]()
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