Controversies and recommendations regarding sentinel lymph node biopsy in primary breast cancer: A comprehensive review of current data. Issue 1 (January 2018)

• Record Type: Journal Article
• Authors: Charalampoudis, Petros; Markopoulos, Christos; Kovacs, Tibor
• Is Part Of: European journal of surgical oncology. Volume 44:Issue 1(2018)
• Page Start: 5
• Page End: 14
• Publication Date: 2018-01
• Subjects: Breast cancer -- Sentinel lymph node biopsy -- Neoadjuvant chemotherapy -- Axillary ultrasound; Oncology -- Periodicals; Cancer -- Surgery -- Periodicals; Medical Oncology -- Periodicals; Neoplasms -- surgery -- Periodicals; Cancer -- Chirurgie -- Périodiques; Cancérologie -- Périodiques; Oncologie; Chirurgie (geneeskunde); Electronic journals; Electronic journals -- Sciences; Electronic journals -- Medicine; Electronic journals; 616.994059005
• DOI: 10.1016/j.ejso.2017.10.215
• Languages: English
• ISSNs: 0748-7983

Abstract

Abstract: In primary breast cancer, sentinel lymph node biopsy has been established as the gold standard for regional axillary staging. A robust body of randomized data support its accuracy and safety in patients with early, clinically node negative disease. However, the role of SLNB remains debatable in various patient subgroups, and recent advances in histopathology, dedicated axillary ultrasound imaging and chemotherapy regimens, put its role under a new perspective. Herein, we review the current literature data on the indications for SLNB and discuss the challenges in management germane to special patient subgroups and patterns of disease. We also present emerging data on the optimal management of the SLN+ patient, in light of recent trials challenging the dogma of completion axillary dissection after a positive sentinel node biopsy.