Axillary lymph node dissection for staging the axilla in breast carcinoma patients is associated with considerable morbidity, such as edema of the arm, pain, sensory disturbances, impairment of arm mobility, and shoulder stiffness. Sentinel lymph node biopsy electively removes the first lymph node,
Intraoperative examination of axillary sentinel lymph nodes in breast carcinoma patients
โ Scribed by Giuseppe Viale; Silvano Bosari; Giovanni Mazzarol; Viviana Galimberti; Alberto Luini; Paolo Veronesi; Giovanni Paganelli; Marilia Bedoni; Enrico Orvieto
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 182 KB
- Volume
- 85
- Category
- Article
- ISSN
- 0008-543X
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โฆ Synopsis
BACKGROUND.
Routine histologic examination of axillary sentinel lymph nodes predicts axillary lymph node status and may spare patients with breast carcinoma axillary lymph node dissection. To avoid the need for two separate surgical sessions, the results of sentinel lymph node examination should be available intraoperatively. However, routine frozen-section examination of sentinel lymph nodes is liable to yield false-negative results. This study was conducted to ascertain whether extensive intraoperative examination of sentinel lymph nodes by frozen section examination would attain a sensitivity comparable to that obtained by routine histologic examination without intraoperative frozen section examination.
๐ SIMILAR VOLUMES
A noteworthy and provocative article by Dowlatshahi et al. in this issue of Cancer describes a preliminary study assessing the incidence of occult metastases in the sentinel lymph nodes (SLNs) of patients with small breast carcinomas. 1 SLNs from 52 patients whose primary tumors had a mean greatest