Comparison of Early Postoperative Axillary Morbidity Following the Sentinel Lymph Node Biopsy or Axillary Lymph Node Dissection.
10.4048/jbc.2007.10.2.107
- Author:
Jung Sun LEE
1
;
Soo Jung HONG
;
Hee Jeong KIM
;
Mi Ae CHANG
;
In Young SUNG
;
Kyang Yup GONG
;
Euy Nyong KIM
;
Sei Hyun AHN
;
Byung Ho SO
Author Information
1. Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. brdrson@korea.com
- Publication Type:Original Article
- Keywords:
Sentinel lymph node biopsy (SLNB);
Conventional axillary dissection;
Axillary morbidity;
Early postoperative period
- MeSH:
Arm;
Breast Neoplasms;
Case-Control Studies;
Edema;
Humans;
Lymph Node Excision*;
Lymph Nodes*;
Neoplasm Metastasis;
Prospective Studies;
Sentinel Lymph Node Biopsy*;
Shoulder
- From:Journal of Breast Cancer
2007;10(2):107-113
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Sentinel lymph node biopsy (SLNB) is a relatively accurate diagnostic method for determining the presence of axillary lymph node metastasis (ALND). SLNB reduces the need for axillary lymph node dissection, thereby decreasing the postoperative axillary morbidity. The present study compared the postoperative axillary morbidity rates during early postoperative days for patients undergoing either SLNB or conventional ALND. METHODS: We conducted a prospective case-control study of breast cancer patients. The degree of axillary morbidity was compared between 28 SLNB patients (Group I) and 38 ALND patients (Group II). RESULTS: The SLNB group showed decreased arm swelling and restriction of their shoulder motion in comparison with the conventional axillary dissection group (p<0.05). SLNB and additional lymph node sampling did not result in any additional morbidity. CONCLUSION: SLNB or lymph node sampling was associated with less axillary morbidity like arm edema, limitation of motion than was conventional ALND. The rate of postoperative axillary morbidity did not differ following lymph node sampling and SLNB. SLNB may be an effective method for diagnosing of axillary lymph node metastasis with decreasing the postoperative axillary morbidity
