Repeat Sentinel Lymph Node Biopsy for Ipsilateral Breast Tumor Recurrence: A Systematic Review of the Results and Impact on Prognosis

Annals of Surgical Oncology
Ingrid G M PoodtG A P Nieuwenhuijzen

Abstract

During recent years, an increasing number of patients with ipsilateral breast tumor recurrence (IBTR) and previous axillary surgery have undergone repeat sentinel lymph node biopsy (rSLNB). The influence of axillary nodal status on prognosis for IBTR patients remains unclear. This study aimed to evaluate the technical success rate, follow-up assessment, and prognostic value of rSLNB for patients with IBTR. A systematic search conducted in MEDLINE, Embase, and the Cochrane Library up to July 2017 included all studies on rSLNB in IBTR. A total of 34 articles describing 1761 patients were identified. A repeat sentinel lymph node (rSLN) was successfully harvested from 64.3% of the patients with IBTR, and the rate was significantly higher for the patients who had a previous SLNB than for those who had a previous axillary lymph node dissection (ALND) (75.7% vs. 46.1%; P < 0.0001). The rSLN was tumor-positive for 18.2% of the rSLNs, 40% of which were harvested in basins other than the ipsilateral axilla. The negative predictive value of the rSLNB was 96.5%. Overall survival, reported for 21.5% of the patients, was 95.2% after a mean follow-up period of 29.6 months. The prognostic impact of rSLN-positive versus rSLN-negative IBTR remai...Continue Reading

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Citations

Mar 26, 2019·The British Journal of Surgery·I G M PoodtUNKNOWN Sentinel Node and Recurrent Breast Cancer (SNARB) study group
May 23, 2020·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Thomas A BuchholzKelly K Hunt
Jul 26, 2019·Annals of Surgical Oncology·Zahraa Al-Hilli, Stephen R Grobmyer
Jun 28, 2018·Annals of Surgical Oncology·Stephanie M Wong, Mehra Golshan
Mar 10, 2019·Annals of Surgical Oncology·Ingrid G M PoodtUNKNOWN Sentinel Node And Recurrent Breast Cancer (SNARB) study group

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