Publications by authors named "P Culell"

Background: The axillary nodal status is essential to determine the stage of disease at diagnosis. Our aim was to prospectively assess the diagnostic accuracy of ultrasonography-guided fine-needle aspiration (US-FNA) for the detection of metastasis in axillary lymph nodes in patients with breast cancer (BC) and its impact on the therapeutic decision.

Materials And Methods: Ultrasonography (US) was performed in 407 axillae of 396 patients who subsequently underwent surgery.

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Objective: To evaluate the results for sentinel node biopsy (SNB) in patients with multifocal breast cancer (MBC) in comparison to in those with unifocal breast cancer (UBC).

Patients And Methods: A total of 1535 prospective SNB (174 on patients with MBC) were performed at 9 hospitals. In most patients, Tc-99m albumin colloids were injected intraparenchymally into each tumoral focus for SNB.

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Article Synopsis
  • The sentinel lymph node biopsy technique (SLNBT) is crucial for determining the axillary stage of breast cancer and helps avoid unnecessary surgeries.
  • SLNBT was successfully implemented at the Centre Hospitalari de Manresa with support from the Germans Trias i Pujol Hospital, starting in 1999 and expanding to all ALTHAIA hospitals by 2002.
  • The procedure had a high technical success rate of 97.55%, with a significant number of patients avoiding more invasive axillary dissection, demonstrating its effectiveness even in hospitals without nuclear medicine services.
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