[What is new about sentinel lymph node biopsy in breast cancer?].
Sentinel lymph node biopsy concept was described in several reports since 1994. Technical and identification procedure, false negative risk, learning curve criteria and benefits concerning cancer stadification and postoperative morbidity were assessed. Peroperative and postoperative pathologic examination procedures are improving progressively but remains still under debate. Classification for micro-metastasis, isolated cells and macro-metastasis in sentinel lymph node was suggested but their immunohistochimic detection and prognostic impact are unclear. These parts are discussed in this article.
Houvenaeghel
Gilles
G
Département de chirurgie, Institut Paoli-Calmettes, 232 bd Sainte-Marguerite, 13006 Marseille cedex 9.
Buttarelli
Max
M
Rossi
Isabelle
I
Tallet
Agnès
A
Jacquemier
Jocelyne
J
Viens
Patrice
P
D001365:Axilla; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis / Q000473:pathology; D018570:Risk Assessment; D021701:Sentinel Lymph Node Biopsy / Q000009:adverse effects / Q000379:methods*