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[The sentinal node: the Dijon experience].
- Source :
-
Journal de gynecologie, obstetrique et biologie de la reproduction [J Gynecol Obstet Biol Reprod (Paris)] 2002 Oct; Vol. 31 (6), pp. 565-71. - Publication Year :
- 2002
-
Abstract
- Objectives: The goal of this study was to evaluate the technical feasibility of sentinel node biopsy in breast cancer and its capacity to predict axillary node status.<br />Material and Methods: Between February 2000 and June 2001, 70 patients with invasive breast carcinomas referred to the cancer center of Dijon, underwent lymphatic mapping (patent blue dye and lymphoscintigraphy with a gamma probe) and sentinel node biopsy followed by axillary clearance (Berg's level 1 and 2).<br />Results: A sentinel node was identified in 94.26% of the patients. We noted 2 false negative sentinel lymph nodes. The sentinel lymph node was involved in 32.8% of the patients and was the only node involved in 14.2% of the patients.<br />Conclusion: This study confirms the feasibility of sentinal node mapping, emphasizing the advantage of using two methods (patent blue dye and gamma probe). A learning curve is required. This procedure is not adapted for tumors larger than 3 cm because of a greater risk of sentinel node involvement and the need for a complete procedure with an axillary clearance.
- Subjects :
- Adult
Aged
Biopsy
Coloring Agents
False Negative Reactions
Feasibility Studies
Female
France
Gamma Cameras
Humans
Immunohistochemistry
Middle Aged
Patient Selection
Predictive Value of Tests
Prognosis
Rhenium
Rosaniline Dyes
Sentinel Lymph Node Biopsy adverse effects
Sentinel Lymph Node Biopsy standards
Technetium
Breast Neoplasms pathology
Lymphatic Metastasis pathology
Sentinel Lymph Node Biopsy methods
Subjects
Details
- Language :
- French
- ISSN :
- 0368-2315
- Volume :
- 31
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Journal de gynecologie, obstetrique et biologie de la reproduction
- Publication Type :
- Academic Journal
- Accession number :
- 12407328