Using the intraoperative hand held probe without lymphoscintigraphy or using only dye correlates with higher sensory mor
- PDF / 548,556 Bytes
- 7 Pages / 610 x 792 pts Page_size
- 74 Downloads / 127 Views
Open Access
Research
Using the intraoperative hand held probe without lymphoscintigraphy or using only dye correlates with higher sensory morbidity following sentinel lymph node biopsy in breast cancer: A review of the literature Suk Chul Kim1, Dong Wook Kim1, Renee M Moadel2, Chun K Kim1, Samprit Chatterjee3, Michail K Shafir4, Arlene Travis1, Josef Machac1 and Borys R Krynyckyi*1 Address: 1Department of Radiology, Division of Nuclear Medicine, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA, 2Department of Nuclear Medicine, Albert Einstein College of Medicine of Yeshiva University, and the Montefiore Medical Center, Bronx, New York, USA, 3Department of Health Policy, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA and 4Department of Surgery, The Mount Sinai School of Medicine, The Mount Sinai Hospital, New York, New York, USA Email: Suk Chul Kim - [email protected]; Dong Wook Kim - [email protected]; Renee M Moadel - [email protected]; Chun K Kim - [email protected]; Samprit Chatterjee - [email protected]; Michail K Shafir - [email protected]; Arlene Travis - [email protected]; Josef Machac - [email protected]; Borys R Krynyckyi* - [email protected] * Corresponding author Published: 29 September 2005 World Journal of Surgical Oncology 2005, 3:64
doi:10.1186/1477-7819-3-64
Received: 28 July 2005 Accepted: 29 September 2005
This article is available from: http://www.wjso.com/content/3/1/64 © 2005 Kim et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: There are no studies that have directly investigated the incremental reduction in sensory morbidity that lymphoscintigraphy images (LS) and triangulated body marking or other skin marking techniques provide during sentinel lymph node biopsy (SLNB) compared to using only the probe without LS and skin marking or using only dye. However, an indirect assessment of this potential for additional sensory morbidity reduction is possible by extracting morbidity data from studies comparing the morbidity of SLNB to that of axillary lymph node dissection. Methods: A literature search yielded 13 articles that had data on sensory morbidity at specific time points on pain, numbness or paresthesia from SLNB that used radiotracer and probe or used only dye as a primary method of finding the sentinel node (SN). Of these, 10 utilized LS, while 3 did not utilize LS. By matching the data in studies not employing LS to the studies that did, comparisons regarding the percentage of patients experiencing pain, numbness/paresthesia after SLNB could be reasonably attempted at a cutoff of 9 months. Results: In the 7 studies reporting on pain after 9 months (> 9 months) that used LS (1347 patien
Data Loading...
