Sentinel-node biopsy in axillary lymph-node staging for patients with multicentric breast cancer

Lancet. 2001 Jan 13;357(9250):122. doi: 10.1016/S0140-6736(00)03550-9.

Abstract

Multicentric breast cancer is thought to be a contraindication for sentinel-node biopsy by most clinicians. In a prospective study we took sentinel-node biopsy samples from 19 patients with multicentric invasive breast cancer with use of a blue dye and radiolabelled colloid mapping technique at the subareolar injection site. All patients underwent complete axillary dissection after sentinel-node biopsy. Nine patients had tumour-free and ten had metastatic sentinel nodes. The sentinel-node status was in concordance with the axillary sample in all patients. Sentinel-node biopsy might become an alternative to complete axillary dissection in patients with multicentric breast cancer with clinically negative lymph nodes.

Publication types

  • Letter

MeSH terms

  • Axilla
  • Breast Neoplasms / pathology*
  • Breast Neoplasms / secondary
  • Humans
  • Lymphatic Metastasis
  • Middle Aged
  • Neoplasm Staging
  • Prospective Studies
  • Sentinel Lymph Node Biopsy*