Lymphatic mapping in patients with breast cancer and previous augmentation mammoplasty
Sentinel lymph node biopsy (SLNB) is now an established method of axillary staging in patients with breast cancer. However, the augmented breast poses an interesting challenge to this procedure. We hypothesized that SLNB is feasible in patients with augmented breasts who subsequently develop breast...
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| Veröffentlicht in: | The American surgeon 2007-10, Vol.73 (10), p.981-983 |
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| creator | KAMINSKI, Anna AMR, Dena LACERNA KIMBRELL, Melinda DIFRONZO, L. Andrew |
| description | Sentinel lymph node biopsy (SLNB) is now an established method of axillary staging in patients with breast cancer. However, the augmented breast poses an interesting challenge to this procedure. We hypothesized that SLNB is feasible in patients with augmented breasts who subsequently develop breast cancer. A retrospective study was performed from 1995 to 2006. Ten patients with augmented breasts underwent breast conservation therapy with SLNB. Sentinel lymph nodes were identified in all 10 patients. Three patients had positive sentinel nodes. Two patients proceeded to axillary lymph node dissection (ALND), and one declined. The subsequent ALND were negative for metastatic cancer. Seven patients had negative sentinel nodes. One patient with a negative sentinel node underwent ALND with all nodes negative for metastasis. Two patients were lost to follow-up. Of the remaining eight patients, the mean duration of follow-up was 71 months. None of these patients had evidence of axillary recurrence or distant metastasis at time of last follow-up. SLNB is a feasible method of axillary node staging in patients who have undergone augmentation mammoplasty who subsequently develop breast cancer. Further studies are needed to better determine the accuracy of lymphatic mapping in this patient population. |
| doi_str_mv | 10.1177/000313480707301011 |
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Andrew</creator><creatorcontrib>KAMINSKI, Anna ; AMR, Dena ; LACERNA KIMBRELL, Melinda ; DIFRONZO, L. Andrew</creatorcontrib><description>Sentinel lymph node biopsy (SLNB) is now an established method of axillary staging in patients with breast cancer. However, the augmented breast poses an interesting challenge to this procedure. We hypothesized that SLNB is feasible in patients with augmented breasts who subsequently develop breast cancer. A retrospective study was performed from 1995 to 2006. Ten patients with augmented breasts underwent breast conservation therapy with SLNB. Sentinel lymph nodes were identified in all 10 patients. Three patients had positive sentinel nodes. Two patients proceeded to axillary lymph node dissection (ALND), and one declined. The subsequent ALND were negative for metastatic cancer. Seven patients had negative sentinel nodes. One patient with a negative sentinel node underwent ALND with all nodes negative for metastasis. Two patients were lost to follow-up. Of the remaining eight patients, the mean duration of follow-up was 71 months. None of these patients had evidence of axillary recurrence or distant metastasis at time of last follow-up. SLNB is a feasible method of axillary node staging in patients who have undergone augmentation mammoplasty who subsequently develop breast cancer. Further studies are needed to better determine the accuracy of lymphatic mapping in this patient population.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313480707301011</identifier><identifier>PMID: 17983062</identifier><identifier>CODEN: AMSUAW</identifier><language>eng</language><publisher>Atlanta, GA: Southeastern Surgical Congress</publisher><subject>Adult ; Biological and medical sciences ; Biopsy ; Breast cancer ; Breast Neoplasms - pathology ; Carcinoma, Ductal, Breast - pathology ; Contraindications ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Lymphatic system ; Mammaplasty ; Mammary gland diseases ; Medical sciences ; Middle Aged ; Patients ; Retrospective Studies ; Sentinel Lymph Node Biopsy ; Tumors</subject><ispartof>The American surgeon, 2007-10, Vol.73 (10), p.981-983</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright Southeastern Surgical Congress Oct 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-c6c0210a0f4e8fe7568887339fe9b82810e2d321ef83f371377d1fe8a7a4995b3</citedby><cites>FETCH-LOGICAL-c433t-c6c0210a0f4e8fe7568887339fe9b82810e2d321ef83f371377d1fe8a7a4995b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19237232$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17983062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KAMINSKI, Anna</creatorcontrib><creatorcontrib>AMR, Dena</creatorcontrib><creatorcontrib>LACERNA KIMBRELL, Melinda</creatorcontrib><creatorcontrib>DIFRONZO, L. Andrew</creatorcontrib><title>Lymphatic mapping in patients with breast cancer and previous augmentation mammoplasty</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Sentinel lymph node biopsy (SLNB) is now an established method of axillary staging in patients with breast cancer. However, the augmented breast poses an interesting challenge to this procedure. We hypothesized that SLNB is feasible in patients with augmented breasts who subsequently develop breast cancer. A retrospective study was performed from 1995 to 2006. Ten patients with augmented breasts underwent breast conservation therapy with SLNB. Sentinel lymph nodes were identified in all 10 patients. Three patients had positive sentinel nodes. Two patients proceeded to axillary lymph node dissection (ALND), and one declined. The subsequent ALND were negative for metastatic cancer. Seven patients had negative sentinel nodes. One patient with a negative sentinel node underwent ALND with all nodes negative for metastasis. Two patients were lost to follow-up. Of the remaining eight patients, the mean duration of follow-up was 71 months. None of these patients had evidence of axillary recurrence or distant metastasis at time of last follow-up. SLNB is a feasible method of axillary node staging in patients who have undergone augmentation mammoplasty who subsequently develop breast cancer. Further studies are needed to better determine the accuracy of lymphatic mapping in this patient population.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - pathology</subject><subject>Carcinoma, Ductal, Breast - pathology</subject><subject>Contraindications</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Lymphatic system</subject><subject>Mammaplasty</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Sentinel Lymph Node Biopsy</subject><subject>Tumors</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0U1rGzEQBmBRGmrH7R_ooYhCc9t2RrO7ko4hNB9g6CXpdZFlyV6zX5F2E_zvI2NDIDnkJCSeGY30MvYd4TeilH8AgJByBRIkAQLiJzbHoigyrQR9ZvMDyA5ixs5j3KVtXhb4hc1QakVQijn7v9y3w9aMteWtGYa62_C640M6cN0Y-XM9bvkqOBNHbk1nXeCmW_MhuKe6nyI306ZNMPG-Sw3ath-aZPdf2Zk3TXTfTuuCPVz_vb-6zZb_bu6uLpeZzYnGzJYWBIIBnzvlnSxKpZQk0t7plRIKwYk1CXRekSeJJOUavVNGmlzrYkULdnHsO4T-cXJxrNo6Wtc0pnNpvqpUuQQFxYdQACgtFCX48w3c9VPo0iMqgWkipaVISByRDX2MwflqCHVrwr5CqA7ZVO-zSUU_Tp2nVevWryWnMBL4dQImWtP4kD68jq9OC0p3C3oBmmaVbA</recordid><startdate>20071001</startdate><enddate>20071001</enddate><creator>KAMINSKI, Anna</creator><creator>AMR, Dena</creator><creator>LACERNA KIMBRELL, Melinda</creator><creator>DIFRONZO, L. 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Obstetrics</topic><topic>Humans</topic><topic>Lymphatic system</topic><topic>Mammaplasty</topic><topic>Mammary gland diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Sentinel Lymph Node Biopsy</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>KAMINSKI, Anna</creatorcontrib><creatorcontrib>AMR, Dena</creatorcontrib><creatorcontrib>LACERNA KIMBRELL, Melinda</creatorcontrib><creatorcontrib>DIFRONZO, L. 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Andrew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lymphatic mapping in patients with breast cancer and previous augmentation mammoplasty</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2007-10-01</date><risdate>2007</risdate><volume>73</volume><issue>10</issue><spage>981</spage><epage>983</epage><pages>981-983</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><coden>AMSUAW</coden><abstract>Sentinel lymph node biopsy (SLNB) is now an established method of axillary staging in patients with breast cancer. However, the augmented breast poses an interesting challenge to this procedure. We hypothesized that SLNB is feasible in patients with augmented breasts who subsequently develop breast cancer. A retrospective study was performed from 1995 to 2006. Ten patients with augmented breasts underwent breast conservation therapy with SLNB. Sentinel lymph nodes were identified in all 10 patients. Three patients had positive sentinel nodes. Two patients proceeded to axillary lymph node dissection (ALND), and one declined. The subsequent ALND were negative for metastatic cancer. Seven patients had negative sentinel nodes. One patient with a negative sentinel node underwent ALND with all nodes negative for metastasis. Two patients were lost to follow-up. Of the remaining eight patients, the mean duration of follow-up was 71 months. None of these patients had evidence of axillary recurrence or distant metastasis at time of last follow-up. SLNB is a feasible method of axillary node staging in patients who have undergone augmentation mammoplasty who subsequently develop breast cancer. Further studies are needed to better determine the accuracy of lymphatic mapping in this patient population.</abstract><cop>Atlanta, GA</cop><pub>Southeastern Surgical Congress</pub><pmid>17983062</pmid><doi>10.1177/000313480707301011</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Biological and medical sciences Biopsy Breast cancer Breast Neoplasms - pathology Carcinoma, Ductal, Breast - pathology Contraindications Female General aspects Gynecology. Andrology. Obstetrics Humans Lymphatic system Mammaplasty Mammary gland diseases Medical sciences Middle Aged Patients Retrospective Studies Sentinel Lymph Node Biopsy Tumors |
| title | Lymphatic mapping in patients with breast cancer and previous augmentation mammoplasty |
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