Combination Technique Is Superior to Dye Alone in Identification of the Sentinel Lymph Node in Male Breast Cancer

Sentinel lymph node (SLN) biopsy is the main method in staging the axilla. There are insufficient data available regarding the accuracy of an SLN biopsy in male breast cancer. The aim of this study is to evaluate whether the combination of dye and radiotracer would improve the detection rate of SLNs...

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Veröffentlicht in:The American surgeon 2018-12, Vol.84 (12), p.1957-1960
Hauptverfasser: Simsek, Osman, Belli, Ahmet K., Aydogan, Fatih, Karatas, Adem, Canbay, Emel, Kepil, Nuray, Selcukbiricik, Fatih, Celik, Varol, Uras, Cihan
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container_end_page 1960
container_issue 12
container_start_page 1957
container_title The American surgeon
container_volume 84
creator Simsek, Osman
Belli, Ahmet K.
Aydogan, Fatih
Karatas, Adem
Canbay, Emel
Kepil, Nuray
Selcukbiricik, Fatih
Celik, Varol
Uras, Cihan
description Sentinel lymph node (SLN) biopsy is the main method in staging the axilla. There are insufficient data available regarding the accuracy of an SLN biopsy in male breast cancer. The aim of this study is to evaluate whether the combination of dye and radiotracer would improve the detection rate of SLNs versus dye alone in male breast cancer patients. From February 2009 to January 2012, our SLN biopsy database was retrospectively reviewed to identify male breast cancer cases. Of the 890 SLN procedures contained in the database, 10 male breast cancer patients were identified. Patient age, body mass index, SLN biopsy technique, SLN identification, number of SLN excised, and pathology reports were reviewed. Mean age was 57.2 (34–85) years with a mean tumor size was 2.2 (1.0–4.0) cm. SLN detection ratios were two in four with blue dye and six in six with the combination technique. Overall, SLNs were identified in 8 of the 10 patients. SLN biopsy is applicable in male breast cancer cases. The addition of a radiotracer to the dye in SLN biopsy increases the detection rate of sentinel nodes in male breast cancer patients.
doi_str_mv 10.1177/000313481808401244
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subjects Adult
Age
Aged
Aged, 80 and over
Axilla
Biopsy
Body mass
Body mass index
Body size
Breast cancer
Breast Neoplasms, Male - pathology
Cancer
Coloring Agents
Dyes
Humans
Identification
Lymph nodes
Lymph Nodes - pathology
Lymphatic system
Male
Medical prognosis
Mens health
Metastasis
Middle Aged
Pathology
Patients
Radioactive tracers
Radiopharmaceuticals
Sentinel Lymph Node - pathology
Sentinel Lymph Node Biopsy - methods
Surgery
title Combination Technique Is Superior to Dye Alone in Identification of the Sentinel Lymph Node in Male Breast Cancer
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