Open AccessSENTINEL LYMPH NODE
Author(s) -
Sadia Hameed,
Shazia Riaz,
Arif Hussain
Publication year - 2007
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2007.14.04.4831
Subject(s) - medicine , sentinel lymph node , breast cancer , mastectomy , quadrant (abdomen) , lymph node , sentinel node , histopathology , surgery , breast carcinoma , general surgery , cancer , pathology
Objective: To assess the efficacy of a localization technique for thesentinel lymph node in patients with early breast carcinoma using 1% isosulphan blue. Study Design: Prospective studyPlace and Duration: Departments of Pathology, Punjab Medical College Faisalabad and Sheikh Zayed Hospital,Lahore and Departments of Surgery, Allied & DHQ Hospitals, Faisalabad from July 2002 – June 2003. Patients andMethods: 1% Isosulphan blue was used to identify the sentinel node in cases of early (T1 & T2) breast cancer. Thedye was injected just before the incision was made. The area was massaged. Mastectomy was done. The sentinel nodewas identified by following the blue track to the first coloured lymph node. This was removed and submitted separatelyfor histopathology along with the mastectomy specimen. Results: The procedure was performed in 95 cases. SLNwere identified in 80 (84%) patients. The mean age was 43.99 years. Majority of the tumours were located in the rightbreast in the upper outer quadrant. One SLN was identified in 93%, 2 in 3% and 3 were noted in 4% of the cases.Conclusion: Injection of 1% isosulphan blue around the tumour is an effective method for isolation of the SLN inselected cases. It saves the patient of the side effects of axillary clearance in node negative cases.