[Reliability of extemporaneous histological sentinel lymph node examination during breast surgery for neoplasia].
Lymphatic mapping and sentinel lymph node (SLN) biopsy for breast cancer is rapidly becoming the standard of care. This is mainly due to the accuracy of the procedure, with a significant decrease in morbidity compared with the standard level III node dissection. We present our experience with SLN biopsy and a small series in which we performed an immediate histologic evaluation of the SLN: in case of positive SLN, a complete lymph node dissection was carried out in the same operative time, thus reducing the need of a second operation. In our experience, we had a 100% accordance between immediate and definitive results: we had neither false positive, which could lead to overtreat the patients with an unnecessary lymph node dissection, nor false negative.
Tinti
A
A
Unità Operativa di Chirurgia Generale, Azienda Ospedaliera San Salvatore, Pesaro.
Lucertini
M
M
Costantini
P G
PG
Coschiera
P
P
Spinelli
Stafoggia
P
P
D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008408:Mastectomy; D009378:Neoplasms, Multiple Primary / Q000473:pathology; D011877:Radionuclide Imaging; D015203:Reproducibility of Results; D012189:Retrospective Studies; D021701:Sentinel Lymph Node Biopsy