Complete sectioning of axillary sentinel nodes in patients with breast cancer. Analysis of two different step sectioning and immunohistochemistry protocols in 246 patients

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Abstract

Aims: To evaluate two detailed step sectioning protocols for sentinel lymph nodes (SLNs). Methods: After vital dye or combined dye and radiocolloid guided biopsy, SLNs were fixed in formalin and embedded in paraffin wax. In protocol A, SLNs from 123 patients were sectioned in steps of 50-100 μm, whereas in protocol B, SLNs from 123 patients were sectioned at steps of 250 μm. Epithelial marker immunohistochemistry (IHC) was performed on multiple levels in cases with negative haematoxylin and eosin findings. Results: In groups A and B, 74 and 47 patients were found to have tumour cells in their axillary SLNs, and 19 (28%) and 18 (19%) patients, respectively, were upstaged as compared with the standard histological assessment. Nodal involvement detected by deeper sections was often micrometastatic or in isolated tumour cells Conclusions: Serial sectioning and IHC are recommended for the evaluation of SLNs. The optimal extent of the histopathological work up should be studied further.

Original languageEnglish
Pages (from-to)926-931
Number of pages6
JournalJournal of Clinical Pathology
Volume55
Issue number12
DOIs
Publication statusPublished - Dec 1 2002

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Immunohistochemistry
Breast Neoplasms
Coloring Agents
Sentinel Lymph Node Biopsy
Waxes
Hematoxylin
Eosine Yellowish-(YS)
Paraffin
Formaldehyde
Neoplasms
Sentinel Lymph Node
cyhalothrin

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

Cite this

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title = "Complete sectioning of axillary sentinel nodes in patients with breast cancer. Analysis of two different step sectioning and immunohistochemistry protocols in 246 patients",
abstract = "Aims: To evaluate two detailed step sectioning protocols for sentinel lymph nodes (SLNs). Methods: After vital dye or combined dye and radiocolloid guided biopsy, SLNs were fixed in formalin and embedded in paraffin wax. In protocol A, SLNs from 123 patients were sectioned in steps of 50-100 μm, whereas in protocol B, SLNs from 123 patients were sectioned at steps of 250 μm. Epithelial marker immunohistochemistry (IHC) was performed on multiple levels in cases with negative haematoxylin and eosin findings. Results: In groups A and B, 74 and 47 patients were found to have tumour cells in their axillary SLNs, and 19 (28{\%}) and 18 (19{\%}) patients, respectively, were upstaged as compared with the standard histological assessment. Nodal involvement detected by deeper sections was often micrometastatic or in isolated tumour cells Conclusions: Serial sectioning and IHC are recommended for the evaluation of SLNs. The optimal extent of the histopathological work up should be studied further.",
author = "G. Cserni",
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T1 - Complete sectioning of axillary sentinel nodes in patients with breast cancer. Analysis of two different step sectioning and immunohistochemistry protocols in 246 patients

AU - Cserni, G.

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N2 - Aims: To evaluate two detailed step sectioning protocols for sentinel lymph nodes (SLNs). Methods: After vital dye or combined dye and radiocolloid guided biopsy, SLNs were fixed in formalin and embedded in paraffin wax. In protocol A, SLNs from 123 patients were sectioned in steps of 50-100 μm, whereas in protocol B, SLNs from 123 patients were sectioned at steps of 250 μm. Epithelial marker immunohistochemistry (IHC) was performed on multiple levels in cases with negative haematoxylin and eosin findings. Results: In groups A and B, 74 and 47 patients were found to have tumour cells in their axillary SLNs, and 19 (28%) and 18 (19%) patients, respectively, were upstaged as compared with the standard histological assessment. Nodal involvement detected by deeper sections was often micrometastatic or in isolated tumour cells Conclusions: Serial sectioning and IHC are recommended for the evaluation of SLNs. The optimal extent of the histopathological work up should be studied further.

AB - Aims: To evaluate two detailed step sectioning protocols for sentinel lymph nodes (SLNs). Methods: After vital dye or combined dye and radiocolloid guided biopsy, SLNs were fixed in formalin and embedded in paraffin wax. In protocol A, SLNs from 123 patients were sectioned in steps of 50-100 μm, whereas in protocol B, SLNs from 123 patients were sectioned at steps of 250 μm. Epithelial marker immunohistochemistry (IHC) was performed on multiple levels in cases with negative haematoxylin and eosin findings. Results: In groups A and B, 74 and 47 patients were found to have tumour cells in their axillary SLNs, and 19 (28%) and 18 (19%) patients, respectively, were upstaged as compared with the standard histological assessment. Nodal involvement detected by deeper sections was often micrometastatic or in isolated tumour cells Conclusions: Serial sectioning and IHC are recommended for the evaluation of SLNs. The optimal extent of the histopathological work up should be studied further.

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