[Current topics in sentinel lymph node navigation surgery in breast cancer].
Sentinel lymph node navigation surgery (SNNS) is standard care for early breast cancer patients to optimize axilla surgery. Recent results from clinical trials of SNNS have demonstrated advanced techniques of sentinel lymph node mapping, the accuracy of sentinel lymph node diagnosis using molecular markers, less arm morbidity due to less-invasive surgery, and no survival benefit of axillary lymph node dissection for sentinel lymph node-negative breast cancer patients. However, several issues related to SNNS in breast cancer remain unclear. Specifically, the clinical management of breast cancer with sentinel lymph node metastases is being investigated in randomized trials. Current topics in SNNS in breast cancer are discussed in this paper.
Department of Breast Surgery, School of Medicine, Kyorin University, Mitaka, Japan.
Shigeru
S
Imoto
D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology*; D018571:Sentinel Surveillance