Lymphatic mapping and sentinel lymph node biopsy in patients with breast cancer.

Abstract:

:The standard of care for the evaluation of axillary nodal involvement remains complete lymph node dissection. Lymphatic mapping and sentinel lymph node (SLN) biopsy are changing this long-held paradigm; indeed, several leading institutions already reserve complete axillary dissection for patients with metastasis to the SLN. In addition to reviewing the literature, this chapter describes our lymphatic mapping experience at the H Lee Moffitt Cancer Center and Research Institute with 1147 breast cancer patients. Our results, in addition to a meta-analysis of data from 12 institutions comprising an additional 1842 patients undergoing complete axillary dissection, demonstrate that SLN biopsy is an accurate method of axillary staging. Although the results from small series may exaggerate the probability of false negative results, the risk of nodal disease based on tumor size and other risk factors should be evaluated when considering the results of SLN sampling.

journal_name

Annu Rev Med

authors

Cox CE,Bass SS,McCann CR,Ku NN,Berman C,Durand K,Bolano M,Wang J,Peltz E,Cox S,Salud C,Reintgen DS,Lyman GH

doi

10.1146/annurev.med.51.1.525

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

525-42

eissn

0066-4219

issn

1545-326X

journal_volume

51

pub_type

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