Lymphatic Mapping and Sentinel Node Biopsy in Breast Cancer : Current View
Abstract
Axillary lymph node disection for breast cancer generally is accepted for its staging and prognostic value, but the extent of dissection remains controversial. Blind Iymph node sampling may miss some nodal metastases and axillary lymph node dissection may result in lymphedema. Sentinel Iymph node biopsy is a recently developed, minimally invasive technique for staging the axilla in patients with early breast cancer. Lymphatic mapping techniques have the potential of changing the standard of surgical care of breast cancer patients and that the technique will avoid the morbidity associated with more extensive axillary dissection. A wide range of different methods and materials has been employed for lymphatic mapping. Sentinel lymph node biopsy is a valid technique in breast cancer management, which can yield valuable axillary staging information. The technique can enhance staging accuracy, and with further refinements and experience may replace the role of axillary lymph node dissection.
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