© 1999 by Oxford University Press
Journal of the National Cancer Institute, Vol. 91, No. 7, 582-583,
April 7, 1999
© 1999 Oxford University Press
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Endoscopy Removal Of Axillary Nodes Gains Ground Abroad, Toehold in U.S.
What to do about axillary lymph nodes has become one of the hot topics in the management of early breast cancer. Is it safe to rely on a biopsy of just one "sentinel" node to decide whether or not the cancer has spread to other underarm nodes? Is it necessary to know the status of the nodes at all? Would leaving them alone, even when they are positive, make any difference in overall survival?
Into this mix of unresolved issues, a few surgeons are now swirling a new question: Could endoscopy be a better way to remove the nodes than conventional surgery?
The benefits, say proponents of the less invasive procedure, could be fewer complications and a faster recovery time. Endoscopy involves very small incisions, through which the nodes are removed with the help of camera-guided instruments.
Few Published Accounts
An Improvement?