© 1999 by Oxford University Press
Journal of the National Cancer Institute, Vol. 91, No. 4, 368-373,
February 17, 1999
© 1999 Oxford University Press
REPORTS |
Sentinel Lymph Node Biopsy and Axillary Dissection in Breast Cancer: Results in a Large Series
Affiliations of authors: U. Veronesi, V. Galimberti, A. Luini, S. Zurrida, V. Sacchini, P. Veronesi, M. Intra (Senology Division), G. Pagnelli, C. De Cicco (Nuclear Medicine Division), G. Viale, E. Orvieto (Pathology Division), C. Robertson (Epidemiology and Biostatistics Division), G. Tosi (Medical Physics Division), D. Scarpa (Anesthesiology Division), Istituto Europeo di Oncologia, Milan, Italy.
Correspondence to: Umberto Veronesi, M.D., Senology Division,Istituto Europeo di Oncologia, via Ripamonti 435, 20141 Milan, Italy (e-mail: DirScien{at}ieo.cilea.it).
BACKGROUND: Axillary lymph node dissection is an established component of the surgical treatment of breast cancer, and is an important procedure in cancer staging; however, it is associated with unpleasant side effects. We have investigated a radioactive tracer-guided procedure that facilitates identification, removal, and pathologic examination of the sentinel lymph node (i.e., the lymph node first receiving lymphatic fluid from the area of the breast containing the tumor) to predict the status of the axilla and to assess the safety of foregoing axillary dissection if the sentinel lymph node shows no involvement. METHODS: We injected 5-10 MBq of 99mTc-labeled colloidal particles of human albumin peritumorally in 376 consecutive patients with breast cancer who were enrolled at the European Institute of Oncology during the period from March 1996 through March 1998. The sentinel lymph node in each case was visualized by lymphoscintigraphy, and its general location was marked on the overlying skin. During breast surgery, the sentinel lymph node was identified for removal by monitoring the acoustic signal from a hand-held gamma ray-detecting probe. Total axillary dissection was then carried out. The pathologic status of the sentinel lymph node was compared with that of the whole axilla. RESULTS: The sentinel lymph node was identified in 371 (98.7%) of the 376 patients and accurately predicted the state of the axilla in 359 (95.5%) of the patients, with 12 false-negative findings (6.7%; 95% confidence interval = 3.5%-11.4%) among a total of 180 patients with positive axillary lymph nodes. CONCLUSIONS: Sentinel lymph node biopsy using a gamma ray-detecting probe allows staging of the axilla with high accuracy in patients with primary breast cancer. A randomized trial is necessary to determine whether axillary dissection may be avoided in those patients with an uninvolved sentinel lymph node.
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|
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|
|
|
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|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
 R Orecchia, A Huscher, M C Leonardi, R Gennari, V Galimberti, C Garibaldi, E Rondi, L C Bianchi, S Zurrida, and S Franzetti Irradiation with standard tangential breast fields in patients treated with conservative surgery and sentinel node biopsy: using a three-dimensional tool to evaluate the first level coverage of the axillary nodes Br. J. Radiol., January 1, 2005; 78(925): 51 - 54. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. D. Atkins Re: Influence of the New AJCC Breast Cancer Staging System on Sentinel Lymph Node Positivity and False-Negative Rates J Natl Cancer Inst, November 3, 2004; 96(21): 1639 - 1639. [Full Text] [PDF]
|
|
|
|
 |
|
 A. Pinero, J. Illana, C. Garcia-Palenciano, F. Canizares, M. Canteras, V. Canadillas, E. Duran, and P. Parrilla Effect on Oximetry of Dyes Used for Sentinel Lymph Node Biopsy: Are There Differences? Arch Surg, November 1, 2004; 139(11): 1204 - 1207. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Rivera, S. Merlin, R. S. Hoda, A. Gopalan, and S. A. Hoda Minimal Involvement of Sentinel Lymph Node in Breast Carcinoma: Prevailing Concepts and Challenging Problems International Journal of Surgical Pathology, October 1, 2004; 12(4): 301 - 306. [Abstract] [PDF]
|
|
|
|
|
|
G. Cserni, T. Burzykowski, V. Vinh-Hung, L. Kocsis, G. Boross, M. Sinko, M. Tarjan, R. Bori, M. Rajtar, E. Tekle, et al. Axillary Sentinel Node and Tumour-related Factors Associated with Non-sentinel Node Involvement in Breast Cancer Jpn. J. Clin. Oncol., September 1, 2004; 34(9): 519 - 524. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Aihara, S. Munakata, H. Morino, and Y. Takatsuka Comparison of Frozen Section and Touch Imprint Cytology for Evaluation of Sentinel Lymph Node Metastasis in Breast Cancer Ann. Surg. Oncol., August 1, 2004; 11(8): 747 - 750. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Wada, S. Imoto, T. Hasebe, A. Ochiai, S. Ebihara, and N. Moriyama Evaluation of Intraoperative Frozen Section Diagnosis of Sentinel Lymph Nodes in Breast Cancer Jpn. J. Clin. Oncol., March 1, 2004; 34(3): 113 - 117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Torrenga, S. Meijer, H. Fabry, and J. van der Sijp Sentinel Node Biopsy in Breast Cancer Patients: Triple Technique as a Routine Procedure Ann. Surg. Oncol., March 1, 2004; 11(3_suppl): 231S - 235S. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. S. Doekhie, K. C. M. J. Peeters, R. A. E. M. Tollenaar, and C. J. H. van de Velde Minimal Residual Disease Assessment in Sentinel Nodes of Breast and Gastrointestinal Cancer: A Plea for Standardization Ann. Surg. Oncol., March 1, 2004; 11(3_suppl): 236S - 241S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F J Fleming, D Kavanagh, T B Crotty, C M Quinn, E W McDermott, N O'Higgins, and A D K Hill Factors affecting metastases to non-sentinel lymph nodes in breast cancer J. Clin. Pathol., January 1, 2004; 57(1): 73 - 76. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. J. Van Zee, D.-M. E. Manasseh, J. L. B. Bevilacqua, S. K. Boolbol, J. V. Fey, L. K. Tan, P. I. Borgen, H. S. Cody III, and M. W. Kattan A Nomogram for Predicting the Likelihood of Additional Nodal Metastases in Breast Cancer Patients With a Positive Sentinel Node Biopsy Ann. Surg. Oncol., December 1, 2003; 10(10): 1140 - 1151. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Intra, S. Zurrida, F. Maffini, A. Sonzogni, G. Trifiro, R. Gennari, P. Arnone, G. Bassani, A. Opazo, G. Paganelli, et al. Sentinel Lymph Node Metastasis in Microinvasive Breast Cancer Ann. Surg. Oncol., December 1, 2003; 10(10): 1160 - 1165. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. B. Edge, J. C. Niland, M. A. Bookman, R. L. Theriault, R. Ottesen, E. Lepisto, and J. C. Weeks Emergence of Sentinel Node Biopsy in Breast Cancer as Standard-of-Care in Academic Comprehensive Cancer Centers J Natl Cancer Inst, October 15, 2003; 95(20): 1514 - 1521. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 U. Veronesi, G. Paganelli, G. Viale, A. Luini, S. Zurrida, V. Galimberti, M. Intra, P. Veronesi, C. Robertson, P. Maisonneuve, et al. A Randomized Comparison of Sentinel-Node Biopsy with Routine Axillary Dissection in Breast Cancer N. Engl. J. Med., August 7, 2003; 349(6): 546 - 553. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. D. Badgwell, S. P. Povoski, S. F. Abdessalam, D. C. Young, W. B. Farrar, M. J. Walker, L. D. Yee, E. E. Zervos, W. E. Carson III, and W. E. Burak Jr Patterns of Recurrence After Sentinel Lymph Node Biopsy for Breast Cancer Ann. Surg. Oncol., May 1, 2003; 10(4): 376 - 380. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. A. Porter, H. McMulkin, and P. J. Lovrics Sentinel Lymph Node Biopsy in Breast Cancer: Canadian Practice Patterns Ann. Surg. Oncol., April 1, 2003; 10(3): 255 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Intra, P. Veronesi, G. Mazzarol, V. Galimberti, A. Luini, V. Sacchini, G. Trifiro, O. Gentilini, G. Pruneri, P. Naninato, et al. Axillary Sentinel Lymph Node Biopsy in Patients With Pure Ductal Carcinoma In Situ of the Breast Arch Surg, March 1, 2003; 138(3): 309 - 313. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G Cserni Complete sectioning of axillary sentinel nodes in patients with breast cancer. Analysis of two different step sectioning and immunohistochemistry protocols in 246 patients J. Clin. Pathol., December 1, 2002; 55(12): 926 - 931. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Tsopelas and R. Sutton Why Certain Dyes Are Useful for Localizing the Sentinel Lymph Node J. Nucl. Med., October 1, 2002; 43(10): 1377 - 1382. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Luini, G. Gatti, A. Frasson, P. Naninato, C. Magalotti, P. Arnone, G. Viale, G. Pruneri, V. Galimberti, C. De Cicco, et al. Sentinel Lymph Node Biopsy Performed With Local Anesthesia in Patients With Early-Stage Breast Carcinoma Arch Surg, October 1, 2002; 137(10): 1157 - 1160. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Intra, G. Gatti, A. Luini, V. Galimberti, P. Veronesi, S. Zurrida, A. Frasson, M. Ciocca, R. Orecchia, and U. Veronesi Surgical Technique of Intraoperative Radiotherapy in Conservative Treatment of Limited-Stage Breast Cancer Arch Surg, June 1, 2002; 137(6): 737 - 740. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
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|
|
|
|
|
|
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|
|
|
|
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