Abbreviations: ALND, axillary lymph node dissection
; BCS, breast-conserving surgery; ECE, extracapsular extension; FS, frozen section; pN1, macrometastatic disease; pN1mi, micrometastatic disease; RT, radiotherapy; SLN, sentinel lymph node; SLNB, sentinel lymph node biopsy.
Although no record of the exact indication was available, all were patients in whom an axillary lymph node dissection
or sentinel node biopsy had been performed.
For no palpable lymph nodes, ultrasonography with FNAC as a staging tool avoided sentinel lymph node biopsy in 68% of patients (upfront underwent axillary lymph node dissection
) with positive axillary lymph nodes .
COMPLICATIONS OF AXILLARY LYMPH NODE DISSECTION
FOR CARCINOMA OF THE BREAST: A REPORT BASED ON A PATIENT SURVEY.
Axillary nodal metastasis occurs in less than 10% of breast sarcomas, making sentinel lymph node biopsy or axillary lymph node dissection
A new study has shown that women with early breast cancer and positive lymph nodes lived just as long whether they had sentinel lymph node dissection (SLND) plus axillary lymph node dissection
(ALND) or SLND alone.
Axillary lymph node dissection
(ALND) has been part of breast cancer surgery since the use of radical mastectomy and reliably identifies nodal metastases.
SLNB can safely be performed in patients with pregnancy-associated breast cancer, thus sparing patients the risk of a complete axillary lymph node dissection
Participants: Women after unilateral breast cancer surgery with axillary lymph node dissection
. Bilateral breast cancer, surgery without axillary lymph node dissection
, and systemic disease were exclusion criteria.
Regardless of whether you choose lumpectomy or mastectomy, an axillary lymph node dissection
should be performed for invasive forms of the disease.
As a result, these patients may have to undergo full axillary lymph node dissection
, which requires removal of all lymph nodes in the armpit region.
The first is the need for another operation, axillary lymph node dissection
, or removal of all the lymph nodes under the armpit.