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Related Experiment Video

Updated: Mar 5, 2026

Sentinel Lymph Node Mapping and Biopsy for Endometrial Cancer at Early Stage with Laparoscopy
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Sentinel lymph node biopsy in low risk settings.

Marios Konstantinos Tasoulis1, Tyler Hughes2, Gildy Babiera3

  • 1Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.

American Journal of Surgery
|March 25, 2017
PubMed
Summary
This summary is machine-generated.

Surgeons have differing practices for sentinel lymph node biopsy (SLNB) in ductal carcinoma in situ (DCIS) and prophylactic mastectomy cases. Consensus is needed to standardize SLNB procedures for these low-risk scenarios.

Keywords:
DCISLow riskMastectomyProphylactic mastectomySLNB

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Breast Cancer Management

Background:

  • Sentinel lymph node biopsy (SLNB) is standard for ductal carcinoma in situ (DCIS) during mastectomy.
  • Its application in prophylactic mastectomy remains controversial.

Purpose of the Study:

  • To investigate current surgeon practices regarding SLNB in DCIS and prophylactic mastectomy.
  • To identify factors influencing these practice patterns.

Main Methods:

  • A survey was distributed to surgeons regarding their SLNB procedures.
  • Statistical analyses were conducted to determine associated factors.

Main Results:

  • 238 surgeons responded, revealing disparate practices.
  • 73.1% perform SLNB for DCIS mastectomy, but only 6.6% for prophylactic mastectomy.
  • A significant portion (61.8%) performing SLNB for DCIS never perform it prophylactically, despite low perceived SLN positivity rates (<5%).

Conclusions:

  • Surgeon practices for SLNB in DCIS and prophylactic mastectomy are inconsistent.
  • There is a need for established consensus guidelines to standardize SLNB procedures in these settings.