Clinical implications of axillary sentinel lymph node 'micrometastases' in breast cancer

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
J-S KrauthJ-Y Bobin

Abstract

The aim of this study was to determine, from a series of cases, the frequency and prognostic factors of invasion of non-sentinel lymph nodes when the axillary sentinel lymph node contains a metastasis < or =2 mm, and thereby select a population in which completion axillary dissection could be omitted. Between July 1996 and July 2003, 62 patients, which axillary sentinel lymph node contained a metastasis < or =2 mm had an evaluation of the axillary non-sentinel lymph nodes. Eleven patients had also an evaluation of internal mammary lymph nodes. Eleven patients had axillary non-sentinel lymph node invasion: six by metastases < or =2 mm and five by macrometastases. When internal mammary lymph nodes were also concerned, nodal invasion apart from the axillary sentinel lymph node was seen in 14 patients. Vascular lymphatic invasion was the only factor, statistically significant, linked to non-sentinel lymph node invasion (p = 0.02). Whatever the size or method of histological detection (pN1mi or pN0(i+)), the presence of a metastasis < or =2 mm in the axillary sentinel lymph node leads us to carry out completion axillary dissection to optimize staging and loco-regional control of the disease.

References

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Citations

Nov 13, 2008·Journal of the National Cancer Institute·Carolien H M van DeurzenPaul J van Diest
Feb 20, 2014·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Mohammad OmairGregory Bruce Mann
Jun 20, 2008·Virchows Archiv : an International Journal of Pathology·Eva V E MadsenThijs van Dalen
Oct 9, 2007·Seminars in Roentgenology·Beatriz B AmaralJessica W T Leung
Aug 21, 2007·Gynécologie, obstétrique & fertilité·C CoutantE Barranger
Apr 17, 2007·American Journal of Surgery·Garth S HerbertTommy A Brown
Feb 28, 2016·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·I BarcoM García-Font

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