Staged sentinel lymph node biopsy before mastectomy facilitates surgical planning for breast cancer patients.
Am J Surg
; 190(4): 595-7, 2005 Oct.
Article
en En
| MEDLINE
| ID: mdl-16164929
ABSTRACT
BACKGROUND:
In patients with breast cancer who choose mastectomy with immediate reconstruction, the sentinel lymph node (SLN) status on permanent histology may complicate treatment if a metastasis is found. The purpose of this study was to determine how performing an SLN biopsy (SLNB) before the definitive operation would influence subsequent surgical procedures.METHODS:
Our SLN database was searched for patients who underwent staged SLNB with subsequent mastectomy between 2001 and 2004.RESULTS:
Twenty-five patients with 27 breast cancers underwent SLNB before mastectomy. Of them, 9 of 27 (33%) were node positive. All 9 patients underwent modified radical mastectomy. Three node-positive patients did not undergo immediate reconstruction. Of the remaining 6 node-positive patients, 5 underwent reconstruction with autologous tissue rather than a tissue expander. In contrast, 6 of 16 (37%) node-negative patients underwent reconstruction with a tissue expander.CONCLUSIONS:
Staged SLNB assists in selecting the appropriate operation in patients who are considering immediate reconstruction.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neoplasias de la Mama
/
Carcinoma Lobular
/
Carcinoma Ductal de Mama
/
Carcinoma Intraductal no Infiltrante
/
Biopsia del Ganglio Linfático Centinela
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Año:
2005
Tipo del documento:
Article
País de afiliación:
Estados Unidos