Benefits of Sentinel Lymph Node Examination in Early Breast Carcinoma
Authors:
M. Mýtnik; J. Petrík; J. Hanudeľ; M. Wereb 1; J. Klč 2; Ľ. Straka 3
Authors‘ workplace:
Chirurgická klinika FNsP Prešov, Slovenská republika, prednosta: MUDr. Miroslav Mýtnik, Ph. D.
; Wesper s. r. o., Prešov, Slovenská republika, pracovisko nukleárnej medicíny, vedúci: MUDr. Mária Wereb
1; Radiodiagnostické oddelenie FNsP Prešov, Slovenská republika, primár: MUDr. Miloslav Šimko, Ph. D.
2; Klinická patológia s. r. o., Prešov, vedúci: MUDr. Ľubomír Straka, Ph. D.
3
Published in:
Rozhl. Chir., 2011, roč. 90, č. 6, s. 343-347.
Category:
Monothematic special - Original
Overview
Introduction:
Sentinel lymph node biopsy improves staging of disease, saves the axilla, and significantly reduces the risk of complications.
Material and methods:
The authors compare the two groups of surgical treatment of breast cancer patients - after conventional surgery with axillary exenteration with a group of patients with sentinel node biopsy using gamma probe with limited power.
Results:
In group of 42 patients after axillary exenteration authors observed: hematoma in 2 patients, 1 postoperative bleeding that need for surgical revision, 2 patients had paresthesia and 1 patient had lymphedema, which represents 11.5% of complications. In the group of 54 patients after limited exercise with the use of sentinel biopsy and gamma probe authors reported only one complication – an infected surgical wound seroma in the axilla (1.8% complications).
Conclusion:
Examination of sentinel node biopsy in combination with exact measurement of gamma probe allows friendly operating performance in the axilla and significantly reduces the incidence of postoperative complications.
Key words:
breast cancer – sentinel node – gamma probe – complication
Sources
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Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2011 Issue 6
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