Sentinel lymph node biopsy in patients with ductal carcinomain situ: systematic review and meta-analysis
Author(s) -
Matthew G. Davey,
Colm O’Flaherty,
Eoin F. Cleere,
Aoife Nohilly,
James Phelan,
Evan Ronane,
Aoïfe Lowery,
Michael J. Kerin
Publication year - 2022
Publication title -
bjs open
Language(s) - English
Resource type - Journals
ISSN - 2474-9842
DOI - 10.1093/bjsopen/zrac022
Subject(s) - medicine , sentinel lymph node , ductal carcinoma , biopsy , breast cancer , odds ratio , confidence interval , axilla , diagnostic odds ratio , carcinoma , carcinoma in situ , radiology , surgery , cancer
Axillary lymph node status remains the most powerful prognostic indicator in invasive breast cancer. Ductal carcinoma in situ (DCIS) is a non-invasive disease and does not spread to axillary lymph nodes. The presence of an invasive component to DCIS mandates nodal evaluation through sentinel lymph node biopsy (SLNB). Quantification of the necessity of upfront SLNB for DCIS requires investigation. The aim was to establish the likelihood of having a positive SLNB (SLNB+) for DCIS and to establish parameters predictive of SLNB+.
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