Sentinel lymph node biopsy for occult breast cancer detected during breast reduction surgery.

Am Surg

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.

Published: May 2006

AI Article Synopsis

  • Breast reduction surgery may complicate sentinel node biopsy because it can interrupt lymphatic pathways.
  • Six patients with hidden tumors successfully had sentinel lymph node biopsies after having breast reduction surgery.
  • In five out of six cases, patients were able to undergo reconstruction following a mastectomy, suggesting that breast reduction should not prevent sentinel node biopsy.

Article Abstract

Breast reduction surgery is considered a relative contraindication to a sentinel node biopsy because of the possibility that lymphatics have been interrupted by the procedure. We describe six patients who underwent successful sentinel lymph node biopsy for occult carcinomas detected after breast reduction surgery. A subsequent skin-sparing mastectomy, along with a sentinel lymph node biopsy, was performed. Reconstruction was possible in five of six patients. Sentinel lymph node biopsy should not be considered a contraindication after breast reduction surgery.

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Source
http://dx.doi.org/10.1177/000313480607200506DOI Listing

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