Number of nodes in sentinel lymph node biopsy for breast cancer: Are surgeons still biased?

Background and Objectives The purpose of this study was to assess the number of lymph nodes removed at SLNB, and what factors might bias a surgeon's decision to remove additional nodes. Methods A prospectively maintained database was reviewed. All patients that had SLNB for primary treatment of...

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Bibliographic Details
Published in:Journal of surgical oncology 2018-06, Vol.117 (7), p.1487-1492
Main Authors: Percy, Dean B., Pao, Jin‐Si, McKevitt, Elaine, Dingee, Carol, Kuusk, Urve, Warburton, Rebecca
Format: Article
Language:English
Subjects:
axilla
Biopsy
Breast cancer
Cancer surgery
Lymphatic system
sentinel lymph node biopsy
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Summary:Background and Objectives The purpose of this study was to assess the number of lymph nodes removed at SLNB, and what factors might bias a surgeon's decision to remove additional nodes. Methods A prospectively maintained database was reviewed. All patients that had SLNB for primary treatment of breast cancer between January 2012 and March 2016 were identified. Clinicopathologic factors were used to compare the number of LNs and rates of node positivity. Results One thousand six hundred and three patients were included. The average number of SLNs, non‐SLNs, and total LNs was 2.53, 0.54, 3.08, respectively. Significantly more LNs were removed in age 40 (3.73, 3.04 P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.25010