The sentinel node biopsy under local anesthesia in breast cancer: advantages and problems, how the technique influenced the activity of a breast surgery department; update from the European Institute of Oncology with more than 1000 cases.
Sentinel lymph node biopsy (SLNB) is a staging technique with a significant impact on patients' quality of life: the oncological effectiveness in a large number of patients affected by breast carcinoma has been already demonstrated, and the clinical research is now focusing on new indication for the biopsy and widespread adoption of the technique. At the European Institute of Oncology we are applying SLNB under local anesthesia: our aim is to improve the management of the disease with low costs for the structure and patients, and to improve patients' acceptance of breast cancer treatments. We are now discussing the impact of the SLNB under local anesthesia on the activity of a breast surgery department. We also present an update of our experience.
Luini
Alberto
A
Division of Breast Surgery, European Institute of Oncology, Milan, Italy.
Caldarella
Pietro
P
Gatti
Giovanna
G
Veronesi
Paolo
P
Vento
Anna Rita
AR
Naninato
Paola
P
Arnone
Paolo
P
Sangalli
Claudia
C
Brenelli
Fabricio
F
Sosnovskikh
Irina
I
Peradze
Nicholas
N
Dussan Luberth
Carlos Alberto
CA
Viale
Giuseppe
G
Paganelli
Giovanni
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D001943:Breast Neoplasms / Q000473:pathology*; D016208:Databases, Factual; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D021701:Sentinel Lymph Node Biopsy / Q000379:methods*