Role of gamma probe-assisted intraoperative sentinel lymph node evaluation in predicting axillary breast cancer metastasis after neoadjuvant chemotherapy.

作者: Kezban Berberoglu , Ayhan Erdemir , Kemal Rasa , Huseyin Baloglu , Metin Cakmakci

DOI: 10.1097/MNM.0000000000001111

关键词: Sentinel lymph nodeBreast cancerProspective cohort studyGamma probeScintigraphyMetastasisRadiologyAxillary Lymph Node DissectionMedicineStage (cooking)

摘要: Objective Intraoperative sentinel lymph node biopsy is a universally accepted technique to identify patients who are candidates for axillary dissection during breast cancer surgery. However, there controversy over its use in underwent preoperative neoadjuvant chemotherapy. This study aimed examine the diagnostic value of gamma probe-assisted intraoperative examination with frozen section had undergone Methods retrospective included 94 tumors diagnosed stage IIA, IIB or IIIA invasive locoregional metastasis surgical treatment after Intraoperatively, sampling was done using radioactive colloid and probe materials were examined method. Patients positive nodes resection. Histopathological all samples postoperatively. Results In 87 (92.6%), could be identified The sensitivity, specificity accuracy method predicting macro 85.7, 86.5 86.2%, respectively, 5.7% false negative rate. Conclusions Sentinel identification scintigraphy seems feasible efficient terms differentiating that require surgery, even when they have received Further large prospective studies allowing subgroup analyses warranted.

参考文章(40)
Aine M. Kelly, Ben Dwamena, Paul Cronin, Ruth C. Carlos, Breast Cancer Academic Radiology. ,vol. 16, pp. 551- 563 ,(2009) , 10.1016/J.ACRA.2009.01.026
Karina Cox, Jennifer Weeks, Pippa Mills, Ritchie Chalmers, Haresh Devalia, David Fish, Ali Sever, Contrast-Enhanced Ultrasound Biopsy of Sentinel Lymph Nodes in Patients with Breast Cancer: Implications for Axillary Metastases and Conservation Annals of Surgical Oncology. ,vol. 23, pp. 58- 64 ,(2016) , 10.1245/S10434-015-4606-0
R. Reitsamer, J. Holzmannhofer, G. Rendl, C. Pirich, C. Kronberger, L. Rettenbacher, K. Dalus, Lymphszintigraphie bei Brustkrebs-Patientinnen nach neoadjuvanter Chemotherapie Nuklearmedizin. ,vol. 50, pp. 33- 38 ,(2011) , 10.3413/NUKMED-0320-10-05
Y. Xing, M. Foy, D. D. Cox, H. M. Kuerer, K. K. Hunt, J. N. Cormier, Meta-analysis of sentinel lymph node biopsy after preoperative chemotherapy in patients with breast cancer. British Journal of Surgery. ,vol. 93, pp. 539- 546 ,(2006) , 10.1002/BJS.5209
Kentaro Tamaki, Nobumitsu Tamaki, Yoshihiko Kamada, Kano Uehara, Minoru Miyashita, Monica SM Chan, Takanori Ishida, Noriaki Ohuchi, Hironobu Sasano, Non-Invasive Evaluation of Axillary Lymph Node Status in Breast Cancer Patients Using Shear Wave Elastography Tohoku Journal of Experimental Medicine. ,vol. 231, pp. 211- 216 ,(2013) , 10.1620/TJEM.231.211
Kelly K. Hunt, Min Yi, Elizabeth A. Mittendorf, Cynthia Guerrero, Gildy V. Babiera, Isabelle Bedrosian, Rosa F. Hwang, Henry M. Kuerer, Merrick I. Ross, Funda Meric-Bernstam, Sentinel lymph node surgery after neoadjuvant chemotherapy is accurate and reduces the need for axillary dissection in breast cancer patients. Annals of Surgery. ,vol. 250, pp. 558- 566 ,(2009) , 10.1097/SLA.0B013E3181B8FD5E
Kelly M. McMasters, Sandra L. Wong, Todd M. Tuttle, David J. Carlson, C. Matthew Brown, R. Dirk Noyes, Rebecca L. Glaser, Donald J. Vennekotter, Peter S. Turk, Peter S. Tate, Armando Sardi, Michael J. Edwards, Preoperative Lymphoscintigraphy for Breast Cancer Does Not Improve the Ability to Identify Axillary Sentinel Lymph Nodes Annals of Surgery. ,vol. 231, pp. 724- 731 ,(2000) , 10.1097/00000658-200005000-00013
Seeyoun Lee, Eun Young Kim, Seok Hyung Kang, Seok Won Kim, Seok-Ki Kim, Keon Wook Kang, Youngmee Kwon, Kyung Hwan Shin, Han-Sung Kang, Jungsil Ro, Eun Sook Lee, Sentinel node identification rate, but not accuracy, is significantly decreased after pre-operative chemotherapy in axillary node-positive breast cancer patients Breast Cancer Research and Treatment. ,vol. 102, pp. 283- 288 ,(2007) , 10.1007/S10549-006-9330-9
Katie S. Nason, Benjamin O. Anderson, David R. Byrd, Lisa K. Dunnwald, Janet F. Eary, David A. Mankoff, Robert Livingston, Rodney A. Schmidt, Kim D. Jewell, Raymond S. Yeung, Roger E. Moe, Increased false negative sentinel node biopsy rates after preoperative chemotherapy for invasive breast carcinoma. Cancer. ,vol. 89, pp. 2187- 2194 ,(2000) , 10.1002/1097-0142(20001201)89:11<2187::AID-CNCR6>3.0.CO;2-#
Lorraine Tafra, Kathryn M Verbanac, Donald R Lannin, Preoperative chemotherapy and sentinel lymphadenectomy for breast cancer. American Journal of Surgery. ,vol. 182, pp. 312- 315 ,(2001) , 10.1016/S0002-9610(01)00718-8