Abstract:
BACKGROUND:Vital dye-guided sentinel node biopsy is affordable in most hospitals, but may be of limited accuracy in identifying all sentinel nodes. Leaving sentinel nodes in the axilla may result in a false nodal staging of breast carcinomas. METHODS:From a series of 112 successful sentinel lymph node biopsies with Patent Blue dye followed by axillary dissection, 10 cases were identified where 1-3 blue nodes were found in the axillary dissection specimens. These 10 cases were compared with those which had all blue nodes identified during surgery. Five of the 10 patients with missed blue nodes also underwent lymphoscintigraphy with 99m-Tc-labeled colloidal human albumin and all of their nodes were subjected to external gamma well counting postoperatively. RESULTS:There were six false-negative sentinel lymph node biopsies overall, but none in patients with missed blue nodes. Patients with primarily unidentified blue nodes had more sentinel nodes and a higher rate of multiple sentinel nodes than the others. CONCLUSION:Blue nodes missed during surgery may be either true sentinel nodes or second echelon nodes labeled by dye overflow. This type of error may occur in <8% of patients and may lead to false-negative sentinel node-based staging in an even smaller proportion of cases (none in this series).
journal_name
Jpn J Clin Oncoljournal_title
Japanese journal of clinical oncologyauthors
Cserni G,Rajtár M,Boross Gdoi
10.1093/jjco/hyd072keywords:
subject
Has Abstractpub_date
2000-06-01 00:00:00pages
263-6issue
6eissn
0368-2811issn
1465-3621journal_volume
30pub_type
杂志文章abstract:OBJECTIVE:Transcatheter arterial embolization (TAE) with gelatin sponge particles and iodized oil often yields poor results when used to treat unresectable multifocal hepatocellular carcinoma (HCC). The present study retrospectively investigated the utility of a novel combination chemotherapy regimen for treating multi...
journal_title:Japanese journal of clinical oncology
pub_type: 杂志文章
doi:10.1093/jjco/hyn076
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journal_title:Japanese journal of clinical oncology
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journal_title:Japanese journal of clinical oncology
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更新日期:2018-06-01 00:00:00
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journal_title:Japanese journal of clinical oncology
pub_type: 临床试验,杂志文章
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更新日期:2002-12-01 00:00:00
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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更新日期:2001-12-01 00:00:00
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更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章
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journal_title:Japanese journal of clinical oncology
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Japanese journal of clinical oncology
pub_type: 杂志文章,多中心研究
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journal_title:Japanese journal of clinical oncology
pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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