A Blue-Dye-Only, Wide-Axillary-Access Technique for Sentinel Node Biopsy in Breast Cancer Patients Undergoing Elective Complete Axillary Dissection

• Authors: Piotr Pluta , Janusz Piekarski , Dariusz Nejc , Grażyna Pasz-Walczak , Andrzej Berner , Piotr Sęk , Adam Bilski , Adam Durczyński , Arkadiusz Jeziorski
• Languages of publication: EN

Abstracts

EN

The aim of the study was to assess the value of a sentinel node biopsy with the use of a blue-dye-only technique as a tool for ultrastaging breast cancer in patients undergoing axillary lymphadenectomy. In order to maximize the efficacy of the method, we used a specific technique identifying blue-dyed lymph vessels during surgery. We took advantage of the wide surgical access to axillary lymph nodes.Material and methods. A blue dye technique for sentinel node biopsy was used during a modified radical mastectomy (Madden type) in 34 patients (85%) or during breast-conserving surgery with complete axillary dissection in six patients (15%).Results. The sentinel node(s) was identified in 39 of the 40 patients (97.5%). Metastases were detected in sentinel nodes in 14 out of these 39 patients. In one patient (1/39; 2.5%), micrometastasis was identified. The false-negative rate was 0%, sensitivity 100%, and negative-predictive value 100%.Conclusions. The blue dye method for sentinel node biopsy with wide access to the axilla is an effective and reliable tool for the identification of the sentinel node. The use of this simple technique permits ultrastaging of breast cancer patients undergoing complete axillary dissection.

Keywords

EN

sentinel node biopsy; blue dye technique; breast cancer

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2008
• Volume: 80
• Issue: 3
• Pages: 111-117

Dates

published

1 - 3 - 2008

online

7 - 4 - 2008

Contributors

author

Piotr Pluta

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Janusz Piekarski

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Dariusz Nejc

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Grażyna Pasz-Walczak

• Department of Pathology, Chair of Oncology, Medical University, Łódź

author

Andrzej Berner

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Piotr Sęk

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Adam Bilski

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Adam Durczyński

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

author

Arkadiusz Jeziorski

• Department of Surgical Oncology, Chair of Oncology, Medical University, Łódź

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Identifiers

DOI

10.2478/v10035-008-0012-7