Axillary staging of breast cancer and the sentinel node

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Abstract

Pathological aspects of axillary nodal staging of breast cancer and in particular sentinel lymph node (SLN) biopsy are reviewed. SLN biopsy seems an almost ideal staging procedure because it has both high accuracy and a low false negative rate. It may also allow a cost effective use of more sensitive methods of metastasis detection. However, the bioiogical relevance of metastases detected only by modern tools remains to be elucidated. This review focuses on standard axillary staging and the histopathological investigation of SLNs, with emphasis on the intraoperative setting. Future trends including ancillary studies, quality control issues, prediction of non-SLN involvement, and suggestions concerning the minimum requirements for the histology of axillary SLNs are also discussed.

Original languageEnglish
Pages (from-to)733-741
Number of pages9
JournalJournal of Clinical Pathology
Volume53
Issue number10
DOIs
Publication statusPublished - Oct 23 2000

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Keywords

  • Axillary staging
  • Breast cancer
  • Sentinel lymph node

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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