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Lymphknotendissektion unter Beruecksichtigung des Sentinel Lymphknoten (SN) Exstirpationsverfahrens

Item Type:Book Section
Title:Lymphknotendissektion unter Beruecksichtigung des Sentinel Lymphknoten (SN) Exstirpationsverfahrens
Creators Name:Liebeskind, U. and Bembenek, A. and Gretschel, S. and Schlag, P.M.
Abstract:Axillary lymph node dissection is a standard procedure in surgical treatment of primary breast cancer. It is staging as well as therapy. With a negative status of the lymph nodes this is, however, an excessive therapy and does not warrant a morbidity of 10-30% as consequence of this treatment. The detection of potential lymphogenic metastasis in the first draining regionary lymph node (SN) is also possible using blue dye or radionuclide. The ex-ploration and histological examination of this lymph node can lead to a prediction of axillary lymph node status with 97% accuracy. Patients without metastasis of the SN can therefore in principle have the possibility of avoiding a conventional axillary dissection. In how much this can be generally indicated or with additional criteria are required is currently subject to prospective trials.
Keywords:Breast Cancer, Axillary Lymph Node Dissection, Sentinel Node
Series Name:Langenbeck's Archive, Kongressband, 118
Title of Book:Panta rhei - Umdenken - Umdenken
Page Range:915-916
Official Publication:https://doi.org/10.1007/978-3-642-56458-1_383

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