Sentinel lymph node biopsy before mastectomy and immediate breast reconstruction does not significantly delay surgery in early breast cancer

2014 ◽  
Vol 85 (6) ◽  
pp. 438-443 ◽  
Author(s):  
Gurdeep S. Mannu ◽  
Ali Navi ◽  
Maged Hussien
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Sentinel Lymph Node Biopsy ◽  
Breast Reconstruction ◽  
Early Breast Cancer ◽  
Lymph Node Biopsy ◽  
Immediate Breast Reconstruction ◽  
Node Biopsy

scholarly journals Locoregional treatment of early breast cancer with isolated tumor cells or micrometastases on sentinel lymph node biopsy

2016 ◽  
Vol 7 (2) ◽  
pp. 243 ◽  
Author(s):  
Agnès Tallet ◽  
Eric Lambaudie ◽  
Monique Cohen ◽  
Mathieu Minsat ◽  
Marie Bannier ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Sentinel Lymph Node Biopsy ◽  
Tumor Cells ◽  
Early Breast Cancer ◽  
Lymph Node Biopsy ◽  
Isolated Tumor Cells ◽  
Locoregional Treatment ◽  
Node Biopsy

Impact of Sentinel Lymph Node Biopsy on Immediate Breast Reconstruction after Mastectomy

2009 ◽  
Vol 75 (7) ◽  
pp. 551-557
Author(s):  
Benjamin C. Wood ◽  
Lisa R. David ◽  
Anthony J. Defranzo ◽  
John H. Stewart ◽  
Perry Shen ◽  
...  
Keyword(s):  
Lymph Node ◽  
Sentinel Lymph Node ◽  
Sentinel Lymph Node Biopsy ◽  
Breast Reconstruction ◽  
False Negative ◽  
Lymph Node Biopsy ◽  
Immediate Breast Reconstruction ◽  
Node Biopsy ◽  
Definitive Surgery ◽  
The Impact

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.

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