Axillary Management After Sentinel Lymph Node Biopsy in Breast Cancer Patients

Aeisha Rivers, Nora Hansen

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

According to the available data, sentinel lymph node (SLN) biopsy is proving to be an accurate staging technique with less post-surgical morbidity than standard axillary lymph node dissection (ALND). Survival benefits associated with SLN biopsy and, as well as the significance of IHC detected micrometastases have yet to be determined. The long term results of several multicenter trials are pending, yet preliminary results are in favor of abandoning ALND in favor of the less invasive alternative. Despite this, ALND remains the standard of care in breast cancer patients with clinically palpable axillary lymph nodes that are suspicious for metastatic disease. Although controversial, many clinicians believe that axillary metastases will precede systemic spread of disease. Therefore, axillary clearance of clinically palpable nodes could potentially quell the progression of metastases. Regardless of whether or not this theory is true, not many would argue against debulking suspicious nodal disease.

Original languageEnglish (US)
Pages (from-to)365-377
Number of pages13
JournalSurgical Clinics of North America
Volume87
Issue number2
DOIs
StatePublished - Apr 1 2007

ASJC Scopus subject areas

  • Surgery

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