Clinical significance and management of extra-axillary sentinel lymph nodes: Worthwhile or irrelevant? Journal Article


Author: Cody, H. S.
Article Title: Clinical significance and management of extra-axillary sentinel lymph nodes: Worthwhile or irrelevant?
Abstract: Nonaxillary drainage is demonstrable by lymphoscintigraphy in up to one-third of breast cancer patients, and nonaxillary sentinel lymph node (SLN) biopsy (most frequently of the internal mammary nodes) is the subject of a growing body of literature. It is not yet clear that the identification of nonaxillary SLN significantly affects treatment or outcome in patients with primary operable disease. The greatest future potential for nonaxillary SLNs biopsy is in the management of patients with ipsilateral breast tumor recurrence, where prior axillary surgery may have unpredictably altered the lymphatic drainage of the breast. © 2010 Elsevier Inc.
Keywords: cancer survival; surgical technique; clinical trial; review; cancer localization; cancer recurrence; cancer staging; lymph node metastasis; lymph node dissection; lymph nodes; lymphatic metastasis; lymphoscintigraphy; sentinel lymph node; lymph node excision; sentinel lymph node biopsy; lymphadenectomy; breast cancer; mastectomy; pathology; breast neoplasms; cancer mortality; axillary lymph node; breast tumor; lymph node; cancer relapse; axilla; internal mammary nodes
Journal Title: Surgical Oncology Clinics of North America
Volume: 19
Issue: 3
ISSN: 1055-3207
Publisher: Elsevier Inc.  
Date Published: 2010-07-01
Start Page: 507
End Page: 517
Language: English
DOI: 10.1016/j.soc.2010.04.002
PUBMED: 20620924
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 2" - "Export Date: 20 April 2011" - "CODEN: SOCAF" - "Source: Scopus"
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  1. Hiram S Cody III
    242 Cody