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- W204593195 abstract "Sentinel node biopsy is routinely used for axillary staging in patients with clinical and radiological node negative breast cancer. The number of nodes removed at surgery is highly variable. A mean of 2.4 nodes is frequently seen in the larger series. Removal of multiple (3 or more) nodes does not improve the accuracy but increases both operative time and pathological analysis. The aim of the current study was to define the correct sentinel node based on uptake of blue dye and radioactive counts.The sentinel node was identified in 121 consecutive patients using isosulfan blue dye and radioisotope. Nodes were labelled sequentially as (i) Hot (ii) Blue or (iii) Hot and Blue and submitted for pathological analysis. Data pertaining to blue dye uptake and radioisotope counts were recorded prospectively. This was correlated with pathological and scintigraphy findings.Thirty eight (32%) patients had a positive sentinel node. Hot and Blue nodes were found in 105 cases. The number of hot and blue nodes correlated exactly with the number seen on scintigraphy. Blue nodes were found in one case. Hot nodes were found in 15 cases. In cases where a hot and blue node was positive there were no further hot or blue nodes found to be positive.Removal of multiple sentinel nodes can be avoided by removing all hot and blue nodes and correlating with findings on lymphoscintigraphy. When present (87% of cases), the hot and blue node accurately predicts the pathological burden of the axilla." @default.
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- W204593195 date "2010-01-01" @default.
- W204593195 modified "2023-09-27" @default.
- W204593195 title "Removal of Multiple Sentinel Lymph Nodes in Patients With Breast Cancer: Defining the “Correct” Node" @default.
- W204593195 doi "https://doi.org/10.1080/00015458.2010.11680594" @default.
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