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Sentinel lymph node biopsy in juvenile secretory carcinoma
Sheldon J Bond1, John J Buchino, Hirikati S Nagaraj
1Division of Pediatric Surgery, Department of Surgery, University of Louisville, KY 40202, USA.
Journal of Pediatric Surgery
|December 25, 2003
Summary
A pediatric secretory carcinoma of the breast was treated with mastectomy and sentinel lymph node biopsy. This approach successfully managed the cancer, with the patient remaining disease-free for three years.
Area of Science:
- Pediatric Oncology
- Surgical Oncology
Background:
- Secretory carcinoma is a rare subtype of breast cancer, particularly in pediatric patients.
- Accurate staging of the axillary lymphatic basin is crucial for effective treatment planning in breast cancer.
Observation:
- A 9-year-old female presented with a 3-year history of a right breast mass.
- Excisional biopsy confirmed the diagnosis of secretory carcinoma.
Findings:
- The patient underwent a simple mastectomy and axillary sentinel lymph node biopsy.
- At 3-year follow-up, the patient remains disease-free, indicating successful treatment.
Implications:
- Sentinel lymph node biopsy provides accurate axillary staging with reduced morbidity compared to formal dissection.
- The authors recommend sentinel lymph node biopsy for pediatric breast cancer treatment.