Sentinel Lymph Node Biopsy for Occult Breast Cancer Detected During Breast Reduction Surgery

Golshan, Mehra; Lesnikoski, Beth-Ann; Lester, Susan
May 2006
American Surgeon;May2006, Vol. 72 Issue 5, p397
Academic Journal
Breast reduction surgery is considered a relative contraindication to a sentinel node biopsy because of the possibility that lymphatics have been interrupted by the procedure. We describe six patients who underwent successful sentinel lymph node biopsy for occult carcinomas detected after breast reduction surgery. A subsequent skin-sparing mastectomy, along with a sentinel lymph node biopsy, was performed. Reconstruction was possible in five of six patients. Sentinel lymph node biopsy should not be considered a contraindication after breast reduction surgery.


Related Articles

  • Sentinel Node Biopsy in Breast Cancer. Leidenius, M. H. K. // Acta Radiologica;Dec2005, Vol. 46 Issue 8, p791 

    In breast cancer, sentinel node biopsy (SNB) has replaced diagnostic axillary clearance (AC) in nodal staging in numerous breast surgery units all over the world. However, there is no international standard in imaging, harvesting, and histological examination of the sentinel nodes. SNB has been...

  • Lymphatic Mapping Improves Staging and Reduces Morbidity in Women Undergoing Total Mastectomy for Breast Carcinoma. Langer, Samantha; Guenther, J. Michael; Haigh, Philip I.; Difronzo, L. Andrew // American Surgeon;Oct2004, Vol. 70 Issue 10, p881 

    Lymphatic mapping (LM) and sentinel lymph node biopsy (SLNB) have become widely accepted in the setting of breast conservation surgery. We hypothesized that LM can be extended to women undergoing total mastectomy, being technically feasible, yielding highly accurate and sensitive results,...

  • Effect On Oximetry Of Isosulfan Blue Used For Sentinel Lymph Node Biopsy In Breast Surgery. Turkmen, Aygen; Turgut, Namigar; Guven, Hakan; Ulufi, Nalan; Altan, Aysel; Ali, Achmet; Alkan, Irem // Internet Journal of Anesthesiology;2008, Vol. 15 Issue 2, p2 

    Isosulfan blue 1% is a dye used in medical procedures such as lymphangiography and sentinel lymph node biopsy. Besides anaphylaxis, isosulfan blue dye may cause discoloration of a patient's serum making the use of pulse oximetry useless by mimicking true intraoperative hypoxia. A 70-year old...

  • Apron-flap technique eliminates 'most objectionable' vertical scar of reduction mammaplasty. Guttman, Cheryl // Cosmetic Surgery Times;Mar2003, Vol. 6 Issue 2, p34 

    Focuses on the apron-flap technique in reduction mammoplasty. Elimination of the vertical portion of the inverted T-incision; Isolation of the nipple-areola complex no the inferior pedicle; Closure of the inferior incision.

  • Short-scar techniques for breast contouring offer advantages over inverted T. Hannapel, Coriene E. // Cosmetic Surgery Times;Sep2002, Vol. 5 Issue 8, p28 

    Reports on the vertical reduction mammaplasty which is part of a list of procedures that use shorter incisions in surgical techniques designed to reduce, lift, or correct asymmetry in the breasts. Advantages of the inverted T procedure; Best patients for the vertical technique; Production of...

  • Axillary Reduction Mammoplasty. Felicio, Yhelda // International Journal of Cosmetic Surgery & Aesthetic Dermatolog;Sep2000, Vol. 2 Issue 3, p195 

    The usual method for reduction mammoplasty results in visible and sometimes hypertrophic or keloid scars and late postoperative ptosis. The author has been utilizing an axillary approach for breast reduction and describes the results in 200 patients for treatment of such conditions as...

  • When less is more.  // Sarasota Magazine;Nov99, Vol. 22 Issue 2, p158 

    Focuses on the popularity of breast reduction surgery among men and women in Sarasota, Florida. Medical reasons for wanting to have breast reduction; Correction of condition known as gynecomastia in men; Average cost of the surgery; Complications.

  • Epidermotropic Cutaneous Metastases from Hypopharyngeal Carcinoma. Prabhudesai, Shirish G.; Pramesh, C. S.; Jambhekar, Nirmala A.; Pathak, Kumar A.; Sanghvi, Vikram D. // Journal of Otolaryngology;May/Jun2004, Vol. 33 Issue 3, p198 

    The article discusses a case of epidermotropic cutaneous metastases from hypopharyngeal carcinoma. A 64-year-old man presented with a 1-year history of hoarseness and recent-onset stridor for which a tracheostomy had been done. The chest radiograph showed fibrotic stigmata of an old tuberculous...

  • Outcome of Patients with Melanoma and Histologically Negative Sentinel Lymph Nodes: One Institution’s Experience. De Giorgi, Vincenzo; Leporatti, Genny; Massi, Daniela; Russo, Giulia Lo; Sestini, Serena; Dini, Mario; Lotti, Torello // Oncology;2007, Vol. 73 Issue 5/6, p401 

    Background: Since its introduction by Morton in 1992, sentinel lymph node (SLN) biopsy has become a standard procedure in the staging and treatment of primary melanoma and clinically negative regional lymph nodes. The primary aims of this procedure are to ascertain the individual lymphatic...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics