2–39 Impact of Sentinel Lymph Node Biopsy on the Evolution of Breast Reconstruction

2007 ◽  
Vol 18 (2) ◽  
pp. 179
Author(s):  
H.S. Cody
2009 ◽  
Vol 75 (7) ◽  
pp. 551-557
Author(s):  
Benjamin C. Wood ◽  
Lisa R. David ◽  
Anthony J. Defranzo ◽  
John H. Stewart ◽  
Perry Shen ◽  
...  

Traditionally, sentinel lymph node biopsy (SLNB) is performed at the time of mastectomy and reconstruction. However, several groups have advocated SLNB as a separate outpatient procedure before mastectomy, when immediate reconstruction is planned, to allow for complete pathologic evaluation. The purpose of this study was to determine the impact of intraoperative analysis of SLNB on the reconstructive plan when performed at the same time as definitive surgery. A retrospective review was conducted of all mastectomy cases performed at a single institution between September 1998 and November 2007. Of the 747 mastectomy cases reviewed, SLNB was conducted in 344 cases, and there was immediate breast reconstruction in 193 of those cases. There were 27 (7.8%) false negative and three (0.9%) false positive intraoperative analysis of SLNB. Touch preparation analysis from the SLNB changed the reconstructive plan in four (2.1%) cases. In our experience, SLNB can be performed at the time of mastectomy with minimal impact on the reconstructive plan. A staged approach incurs significant additional expense, increases the delay in initiation of systemic therapy and the propensity of procedure-related morbidity; therefore, SLNB should not be performed as a separate procedure before definitive surgery with immediate breast reconstruction.


2006 ◽  
Vol 118 (5) ◽  
pp. 1089-1099 ◽  
Author(s):  
Steven J. Kronowitz ◽  
Henry M. Kuerer ◽  
Kelly K. Hunt ◽  
Merrick I. Ross ◽  
Pamela R. Massey ◽  
...  

2018 ◽  
Vol 80 (2) ◽  
pp. 100-103
Author(s):  
José Maria Serra-Mestre ◽  
Randolfo Fernandez Peñuela ◽  
Francesco DʼAndrea ◽  
Joan Maria Viñals ◽  
José Maria Serra-Renom

2002 ◽  
Vol 109 (6) ◽  
pp. 1888-1896 ◽  
Author(s):  
Steven J. Kronowitz ◽  
David W. Chang ◽  
Geoffrey L. Robb ◽  
Kelly K. Hunt ◽  
Fred C. Ames ◽  
...  

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