Breast surgery and sentinel node biopsy. Our experience

Sanguinetti, Alessandro and Sperlongano, Pasquale and D'Ajello, Michele and Pisaniello, Donatella and Piatto, Alberto and Misso, Claudia and Sordelli, Ignazio M. F. and Monacelli, Massimo and Lucchini, Roberta and Parmeggiani, Domenico and Sperlongano, Rossella and Avenia, Nicola (2006) Breast surgery and sentinel node biopsy. Our experience. Il giornale di chirurgia, 27 (3). pp. 109-111. ISSN 1971-145x

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Massive campaigns of screening of breast pathologies improved early diagnosis of breast cancers. Most of these cancers are small- sized (T1) and seldom show intraoperative nodal involvement. Sentinel node biopsy is the elective choice in the abovementioned cases because, if negative, it avoids axillary dissection. International literature reports rates of false negative sentinel node biopsy ranging among 4,5 and 12%; results in our experience account for almost 6%. As a consequence, there is the definite risk of potentially positive axillas that will not be dissected with subsequent risk of axillary recurrence within 24 months. The reason of that could be related to the fact that in Referral Centers this technique is performed in strictly selectioned patients, so as to gain a diagnostic accuracy of 98%. The rate of axillary recurrences does not justify the routinary axillary dissection, since this is just a staging, not a therapeutic procedure. In case of doubt, it can be recommended a close and careful follow-up of the axilla.

Item Type: Article
Uncontrolled Keywords: Breast surgery, Sentinel node, Axillary dissection; Chirurgia mammaria, Linfonodo sentinella, Dissezione ascellare
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Chiara D'Arpa
Date Deposited: 11 Jul 2013 10:34
Last Modified: 11 Jul 2013 10:34

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