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Sentinel lymph node biopsy in clinically detected ductal carcinoma in situ

World Journal of Clinical Oncology 2016年第2期7卷 258-264页

作者： Ahmed Yahia al-Ameer Sahar al Nefaie badria al johani Ihab Anwar Taher al Tweigeri Asma Tulbah Mohmmed alshabanah Osama al Malik Department of Surgery Armed Forces Hospital Southern Region Department of Surgery King Abdul Aziz Specialist Hospital Breast and Endocrine Section Department of SurgeryKing Faisal Specialist Hospital and Research Centre Medical Oncology Section Oncology CenterKing Faisal Specialist Hospital and Research Centre Anatomical Pathology Section Pathology and Laboratory MedicineKing Faisal Specialist Hospital and Research Centre Radiation Oncology Section Oncology CenterKing Faisal Specialist Hospital and Research Centre

AIM:To study the indications for sentinel lymph node biopsy(SLNB) in clinically-detected ductal carcinoma in situ(CD-DCIS).METHODS:A retrospective analysis of 20 patients with an initial diagnosis of pure DCIS by an image-guided core needle biopsy(CNB) between June 2006 and June 2012 was conducted at King Faisal Specialist *** accuracy of performing SLNB in CD-DCIS,the rate of sentinel and non-sentinel nodal metastasis,and the histologic underestimation rate of invasive cancer at initial diagnosis were *** inclusion criteria were a preoperative diagnosis of pure DCIS with no evidence of *** excluded any patient with evidence of microinvasion or *** were two cases of mammographically detected DCIS and 18 cases of *** our patients were diagnosed by an imageguided CNB except two patients who were diagnosed by fine needle aspiration(FNA).all patients underwent breast surgery,SLNB,and axillary lymph node dissection(alND) if the SLN was ***:Twenty patients with an initial diagnosis of pure DCIS underwent SLNB,2 of whom had an *** mean age of the patients was 49.7 years(range,35-70).Twelve patients(60%) were premenopausal and 8(40%) were *** was the diagnostic procedure for 18 patients,and 2 who were diagnosed by FNA were excluded from the calculation of the underestimation *** out of 20 had a positive SLNB and underwent an alND and neither had additional non sentinel lymph node *** the sentinel visualization rate and the intraoperative sentinel identification rate were 100%.The false negative rate was 0%.Only 2 patients had a positive SLNB(10%) and neither had additional metastasis following an *** definitive surgery,3 patients were upstaged to invasive ductal carcinoma(3/18 = 16.6%) and 3 other patients were upstaged to DCIS with microinvasion(3/18 = 16.6%).Therefore the histologic underestimation rate of invasive disease was 33%.CONCLUSION:SLNB in CD-DCIS is technically

关键词： Non-invasive tumor Sentinel lymph node biopsy Ductal carcinoma in situ Diagnosis Breast cancer

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