Three Different Locations of a Sentinel Node Highlight the Importance of Performing a Sentinel Node Biopsy in Breast Cancer Recurrence

Breast Cancer : Basic and Clinical Research
Adrien AlbertWiebren A A Tjalma

Abstract

A local breast cancer recurrence or a new breast cancer in the previously treated breast is a staging challenge. Staging is important to tailor the local and the systemic treatment. Earlier treatment(s) can disrupt the primary lymphatic drainage. After the disruption, new lymphatic drainage pathways are often created. The identification of these new pathways together with their sentinel node(s) (SN) is important for retreatment. A fluorodeoxyglucose positron emission tomography-computerized tomography could be useful to identify the involved node(s), but, unfortunately, there is no evidence to support this. Ideally, in the case of a recurrence, an SN biopsy should be performed in order to identify the "new" draining lymph node(s). This new draining SN(s) can be located in unexpected places, and tumor invasion will lead to a change in the management.

References

Oct 13, 2009·The Breast : Official Journal of the European Society of Mastology·R TasevskiG B Mann
Oct 29, 2011·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·M S KothariF A MacNeill
Oct 3, 2013·European Journal of Nuclear Medicine and Molecular Imaging·Francesco GiammarileSergi Vidal Sicart
Apr 24, 2014·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Wiebren Age Andries Tjalma
Aug 5, 2014·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Wiebren A A Tjalma

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Citations

Jan 27, 2021·The Quarterly Journal of Nuclear Medicine and Molecular Imaging : Official Publication of the Italian Association of Nuclear Medicine (AIMN) [and] the International Association of Radiopharmacology (IAR), [and] Section of the Society of Radiopharmaceutica·Daphne D RietbergenTessa Buckle

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Methods Mentioned

BETA
biopsy
dissection

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