Sentinel lymph node biopsy in operations for recurrent breast cancer

被引：25
作者：
Axelsson, C. K. [1 ,2 ,3 ]
Jonsson, P. -E. [4 ,5 ]
机构：
[1] Herlev Univ Hosp, Dept Clin Physiol & Nucl Med, DK-2730 Herlev, Copenhagen, Denmark
[2] Herlev Univ Hosp, Dept Breast Surg, DK-2730 Herlev, Copenhagen, Denmark
[3] Rigshosp, DBCG Secretariat, Danish Breast Canc Cooperat Grp DBCG, DK-2100 Copenhagen, Denmark
[4] Helsingborg Hosp, Dept Surg, Helsingborg, Sweden
[5] Malmo Univ Hosp, Inst Clin Sci, Malmo, Sweden
来源：
EJSO | 2008年 / 34卷 / 06期
关键词：
sentinel node; breast cancer; recurrence; scintigraphy; surgery;
D O I：
10.1016/j.ejso.2007.09.004
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Background: In a pilot prospective consecutive series on 50 patients with recurrent breast cancer, results of sentinel lymph node biopsy (SLNB) are reported. The interval between primary operation and recurrence was 8 years (range 1-18 years). Only three patients had not undergone dissection of the axilla (ALND). Results: In 51% of patients scintigraphy disclosed sentinel nodes (SN). At operation SN was identified in 45% of patients corresponding to 83% of the SN's visualized by the scintigraphy. SN contained metastases in seven cases (16%), and the treatment plan was changed as a consequence of the SN examination. Conclusion: SLNB can identify SN at a high rate, and the findings may influence further planning of treatment. SLNB should be a future standard procedure in operations for recurrent breast cancer. Next step should be a randomized study. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码：626 / 630
页数：5
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