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Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
Published on: April 3, 2026
[New horizons in breast surgery. Radioguided surgery and selective sentinel node biopsy]
M García Manero1, M Rodriguez Fraile, M Valero
1Departamento de Ginecología y Obstetricia, Clínica Universitaria. Facultad de Medicina, Universidad de Navarra, Pamplona. mgmanero@unav.es
Revista De Medicina De La Universidad De Navarra
|June 27, 2008
Summary
Radioguided occult lesion localization (ROLL) is an emerging technique for nonpalpable breast lesions. Sentinel lymph node biopsy (SLNB) may help avoid complete axillary lymph node dissection (ALDN) if the sentinel node is metastasis-free.
Area of Science:
- Oncology
- Surgical Oncology
- Radiology
Background:
- Needle-wire localization is standard for nonpalpable breast lesions.
- Radioguided occult lesion localization (ROLL) is gaining traction for open surgery.
- Sentinel lymph node biopsy (SLNB) is a key oncologic staging procedure.
Purpose of the Study:
- To evaluate the utility of radioguided occult lesion localization (ROLL) in breast cancer diagnosis.
- To assess the role of sentinel lymph node biopsy (SLNB) in staging axillary lymph nodes.
- To determine if negative sentinel lymph node biopsy (SLNB) can obviate the need for complete axillary lymph node dissection (ALDN).
Main Methods:
- Review of techniques for nonpalpable breast lesion localization.
- Description of the radioguided occult lesion localization (ROLL) procedure.
- Explanation of sentinel lymph node biopsy (SLNB) principles and application.
Main Results:
- ROLL is an increasingly utilized alternative to needle-wire localization.
- Sentinel lymph node biopsy (SLNB) accurately identifies the primary lymphatic drainage pathway.
- Negative sentinel lymph node biopsy (SLNB) results correlate with the absence of metastasis in other axillary nodes.
Conclusions:
- Radioguided occult lesion localization (ROLL) offers a viable approach for nonpalpable breast lesions.
- Sentinel lymph node biopsy (SLNB) is crucial for accurate breast cancer staging.
- Avoiding complete axillary lymph node dissection (ALDN) is possible with negative sentinel lymph node biopsy (SLNB) findings, reducing patient morbidity.
