Current status of sentinel node adenectomy and future perspectives

Tadashi Ikeda, Hiromitsu Jinno, Fujii Hirofumi, Masaki Kitajima

Research output: Contribution to journalReview article

Abstract

Sentinel node adenectomy has rapidly been accepted in recent years. A survey performed under the auspices of the Japanese Breast Cancer Society revealed that about 40% of institutions in Japan have already introduced sentinel lymph adenectomy. Analysis of questionnaire responses from 40 institutions in Japan revealed an identification rate using the dye method alone of 87% compared with 96% using the combined method. The identification rate and the false-negative rate are about the same among various methods used such as colloidal radiotracers, injection site, use of lymphoscintigraphy, etc., provided that the surgeon has adequate experience. It is recommended that the surgeon should start to perform sentinel node adenectomy after experiencing more than 60 cases, because there is a learning curve. Some investigators are devising other methods to replace the RI method, for example, using magnetic particles instead of RI colloid and detecting them using magnetic probes. and a trial to detect lymphatic flow with CT after local injection of contrast medium is also being conducted. Sentinel node adenectomy may become a standard technique for early breast cancer patients in the near future.

Original languageEnglish
Pages (from-to)480-484
Number of pages5
JournalNippon Geka Gakkai zasshi
Volume105
Issue number9
Publication statusPublished - 2004 Sep

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ikeda, T., Jinno, H., Hirofumi, F., & Kitajima, M. (2004). Current status of sentinel node adenectomy and future perspectives. Nippon Geka Gakkai zasshi, 105(9), 480-484.