Results of sentinel node biopsy not affected by previous excisional biopsy

Sentinel lymph node (SN) biopsy has been validated in the treatment of breast carcinoma. Patients with previous excisional biopsy are regarded as ineligible for SN biopsy. We evaluated the results of SN biopsy for this group of patients based on confirmatory axillary lymph node dissection. From Apri...

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Bibliographic Details
Published in:European journal of surgical oncology 2006-04, Vol.32 (3), p.278-281
Main Authors: Heuts, E.M., van der Ent, F.W.C., Kengen, R.A.M., van der Pol, H.A.G., Hulsewé, K.W.E., Hoofwijk, A.G.M.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Axilla
Breast cancer
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Excisional biopsy
Female
Follow-Up Studies
Humans
Lymph Node Excision - methods
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymphatic Metastasis
Middle Aged
Neoplasm Staging
Prospective Studies
Radionuclide Imaging
Reproducibility of Results
Sentinel Lymph Node Biopsy
Sentinel node biopsy
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Summary:Sentinel lymph node (SN) biopsy has been validated in the treatment of breast carcinoma. Patients with previous excisional biopsy are regarded as ineligible for SN biopsy. We evaluated the results of SN biopsy for this group of patients based on confirmatory axillary lymph node dissection. From April 1997 all 88 patients with stage T 1—3 breast cancer who had previously undergone diagnostic excisional biopsy followed by complete axillary lymph node dissection, were enrolled into a prospective study to determine the validity of the sentinel node procedure. Lymphoscintigraphy visualized one or more axillary hot spots in 84/88 patients. A successful SN biopsy was performed in 87 patients. Complete axillary lymph-node dissection showed no false-negative SN biopsy among the 87 SN procedures. SN biopsy is a reliable and safe method following excisional biopsy as is confirmed by completion axillary lymph node dissection. Therefore, patients with previous excisional biopsy are eligible for sentinel node procedure and can be spared unnecessary axillary lymph node dissection.
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2005.09.001