[Routine sentinel node detection in breast cancer. Experience of the Curie Institute].
Since January 2000, sentinel lymph node detection is routinely performed at the Institut Curie, involving a multidisciplinary team of trained surgeons, nuclear medicine physicians, radiologists and pathologists. During a three-year period, 738 patients undergoing tumorectomy with conservative surgical treatment of the breast were included in the sentinel node procedure consisting of systematic pre-operative tumor biopsies, peritumoral lymph tracer injections at tumor contact (radionuclide/blue dye), primary surgical removal of the first sentinel lymph node, frozen section diagnosis, followed by a standardized pathological analysis, and finally the application of precise criteria to determine whether further surgery is necessary. This article is an evaluation of the sentinel lymph node technique in a specialized Center providing a breakdown of the strong points and weak points of the procedure.
Delahaye
Sophie
S
Service de chirurgie générale à orientation sénologique, Institut Curie, 26, rue d'Ulm, 75005 Paris, FRANCE.
Benamor
Myriam
M
Nos
Claude
C
Vincent-Salomon
Anne
A
El Khoury
Carl
C
Doridot
Virginie
V
Sigal-Zafrani
Brigitte
B
Clough
Krishna B
KB
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000601:surgery; D018275:Carcinoma, Lobular / Q000473:pathology / Q000601:surgery; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009367:Neoplasm Staging; D012086:Reoperation; D021701:Sentinel Lymph Node Biopsy
Le ganglion sentinelle en routine dans le cancer du sein: expérience de l'Institut Curie.