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Sentinel lymph node biopsy in breast cancer--a modified audit for surgeons in private practice.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Edge, Jenny Nizami, Athar Whittaker, Judith |
| Copyright Year | 2007 |
| Abstract | BACKGROUND Sentinel lymph node biopsy (SLNB) is a technique that is widely used in the management of early breast cancer. Surgeons are encouraged to validate their initial SLNB results by performing an audit in which both a SLNB and an axillary lymph node dissection (ALND) are performed. For surgeons in solo private practice this is not financially viable as the SLNB would not be paid for by the medical insurance companies. METHODS Forty consenting patients were enrolled in the audit. The initial 5 patients (group A) were entered into a traditional audit - an ALND and a SLNB. The next 35 patients (group B) formed part of a modified audit - an axillary sample was performed if the sentinel node was negative (group B1) and an ALND if the node was positive (group B2). RESULTS Ninety-two per cent of patients with an ipsilateral sentinel axillary node on preoperative scintigraphy had their node identified at the time of surgery. Eight patients had evidence of lymphatic spread. Two patients had parasternal sentinel nodes which were not removed. Group A had a mean of 10.8 nodes removed, group B1 5.8 nodes, and group B2 13.2 nodes. Twenty-three of 35 patients (66%) in group B were spared an axillary dissection. CONCLUSION The modified audit of group B allowed patients to benefit from the procedure (and thus the medical aids charged) and yet permitted our team to ascertain the accuracy of the technique in our hands. We feel this is an approach that may be used by other surgeons working alone. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.samj.org.za/index.php/samj/article/viewFile/817/286 |
| PubMed reference number | 17691477v1 |
| Volume Number | 97 |
| Issue Number | 6 |
| Journal | South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Anatomic Node Charge (electrical) Mammary Neoplasms Para-aortic node Patients Private Practice Radionuclide Imaging Sentinel Lymph Node Biopsy axillary lymph node dissection lymph nodes |
| Content Type | Text |
| Resource Type | Article |
