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Novel techniques in sentinel lymph node mapping and localization of nonpalpable breast lesions: The moffit experience

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Abstract

The concept of lymphatic mapping has helped to redefine the clinical significance of lymph nodes with respect to breast cancer. The combination technique using both blue dye and radiocolloid is the most effective method of lymphatic mapping. The data in the literature support the concept that all patients undergoing lympectomy or especially mastectomy should undergo lymphatic mapping if a diagnosis of invasive cancer is remotely possible. The low morbidity, high sensitivity, and specificity of mapping indicate its use for increasing number of patients thought initially not to be candidates for the procedure.

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References

  1. Cox CE. Lymphatic mapping in breast cancer: combination technique.Ann Surg Oncol 2001;8(9 Suppl):67S-70S.

    PubMed  CAS  Google Scholar 

  2. Albertini JJ, Lyman GH, Cox C, et al. Lymphatic mapping and sentinel node biopsy in the patient with breast cancer.JAMA 1996;276:1818–22.

    Article  PubMed  CAS  Google Scholar 

  3. Cox CE, Bass SS, Ku N, et al. Sentinel lymphadenectomy: a safe answer to less axillary surgery.Recent Results Can Res 1998;152:170–9.

    CAS  Google Scholar 

  4. Cox CE, Haddad F, Bass SS, et al. Lymphatic mapping in the treatment of breast cancer.Oncology 1998;12:1283–98.

    PubMed  CAS  Google Scholar 

  5. Cox CE, Salud CJ, Cantor A, et al. Learning curves for breast cancer sentinel lymph node mapping based on surgical volume analysis.J Am Coll Surg 2001;193:593–600.

    Article  PubMed  CAS  Google Scholar 

  6. Rosener D, Bedwani RN, Vana J, et al. Noninvasive breast carcinoma. Results of a national survey by the American College of Surgeons.Ann Surg 1980;192:139.

    Article  Google Scholar 

  7. Silverstein J. Ductal carcinoma in-situ of the breast.Annual Review of Medicine: Selected Topics in the Clinical Sciences 2000;51:17–32.

    CAS  Google Scholar 

  8. Homer MJ. Transection of the localization hooked wire during breast biopsy.AJR Am J Roentgenol 1983;141:929.

    PubMed  CAS  Google Scholar 

  9. Davis PS, Wechsler RJ, Feig SA, et al. Migration of breast biopsy localization wire.AJR Am J Roentgenol 1988;150:787.

    PubMed  CAS  Google Scholar 

  10. Homer MJ, Pile-Spellman ER. Needle localization of occult breast lesions with a curved-end retractable wire: technique and pitfalls.Radiology 1986;161:547.

    PubMed  CAS  Google Scholar 

  11. Gennari R, Galimberti V, De Cicco C, et al. Use of technetium-99m-labeled colloid albumin for preoperative and intraoperative localization of nonpalpable breast lesions.J Am Coll Surg 2000;190:692–8; 698–9.

    Article  PubMed  CAS  Google Scholar 

  12. Gray RJ, Salud C, Nguyen K, et al. Randomized prospective evaluation of a novel technique for biopsy or lumpectomy of nonpalpable breast lesions: radioactive seed versus wire localization.Ann Surg Oncol 2001;8:711–5.

    Article  PubMed  CAS  Google Scholar 

  13. Cox CE, Furman B, Stowell N, et al. Radioactive seed localization breast biopsy and lumpectomy: can specimen radiographs be eliminated?Ann Surg Oncol 2003;10:1039–47.

    Article  PubMed  Google Scholar 

  14. Cox CE, Nguyen K, Gray RJ, et al. Importance of lymphatic mapping in ductal carcinoma in situ (DCIS): why map DCIS?.Am Surg 2001;67:513–21.

    PubMed  CAS  Google Scholar 

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Cox, C.E., Furman, B., Dupont, E.L. et al. Novel techniques in sentinel lymph node mapping and localization of nonpalpable breast lesions: The moffit experience. Annals of Surgical Oncology 11 (Suppl 3), 222S–226S (2004). https://doi.org/10.1007/BF02523633

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  • DOI: https://doi.org/10.1007/BF02523633

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