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Related Experiment Videos

Sentinel node biopsy can replace four-node-sampling in staging early breast cancer.

T Agarwal1, S K Kakkos, D A Cunningham

  • 1Breast Unit, St. Mary's Hospital, Praed Street, London W2 1NY, UK.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|February 9, 2005
PubMed
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Sentinel node (SN) biopsy is a sensitive method for breast cancer staging. In patients with identified SN, four-node axillary sampling offers no additional diagnostic information.

Area of Science:

  • Oncology
  • Surgical Pathology

Background:

  • Four-node axillary sampling is a standard method for axillary staging in the UK for breast cancer.
  • Sentinel node (SN) biopsy is an alternative staging technique.

Purpose of the Study:

  • To evaluate the sensitivity of sentinel node (SN) biopsy.
  • To compare SN biopsy with four-node axillary sampling for breast cancer staging.

Main Methods:

  • SN identification was attempted in 234 patients with unifocal breast cancers using isotope-labelled nanocolloid and patent blue dye.
  • SN were identified in 94.5% of patients.
  • All patients had four-node sampling; those with positive SN on frozen section (FS) underwent axillary clearance.

Main Results:

Related Experiment Videos

  • An average of 1.38 SN were identified per patient.
  • Histological examination of SN alone identified all node-positive patients detected by four-node sampling.
  • Conclusions:

    • Sentinel node biopsy is highly effective for axillary staging in breast cancer.
    • Four-node axillary sampling provides no additional information when SN are successfully identified.