Sentinel lymphadenectomy in breast cancer: university research tool or community practice?
There is considerable controversy regarding the introduction and granting of credentials for sentinel lymphadenectomy in breast cancer. Given the workload of the average general surgeon and current procedural guidelines, two to three years would be required to demonstrate competence before a surgeon might perform sentinel lymphadenectomy without an immediate completion axillary node dissection. This article reviews issues related to the introduction of sentinel lymphadenectomy in the general surgeon's armamentarium.
Wong
J H
JH
Department of Surgery, University of Hawaii John A. Burns School of Medicine, Honolulu 96813, USA. wongjh@jabsom.biomed.hawaii.edu
D001943:Breast Neoplasms / Q000473:pathology*; D002983:Clinical Competence / Q000592:standards*; D004059:Diffusion of Innovation; D005188:False Negative Reactions; D005260:Female; D013502:General Surgery / Q000193:education* / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D007430:Intraoperative Care; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000473:pathology*; D018579:Patient Selection; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data* / Q000639:trends; D015203:Reproducibility of Results; D012106:Research; D012680:Sensitivity and Specificity; D021701:Sentinel Lymph Node Biopsy / Q000706:statistics & numerical data* / Q000639:trends; D016526:Workload