Erschienen in:
01.03.2007 | Editorial
Con: Sentinel Lymph Node Biopsy for DCIS. The Breast Surgeon is not a Barber
verfasst von:
Henry Mark Kuerer, MD, PhD, FACS
Erschienen in:
Annals of Surgical Oncology
|
Ausgabe 3/2007
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Excerpt
I can not remember the last time I went to the barber and did not get a haircut. After all, you go to a barber—you get a haircut. You go to a surgeon doing breast surgery and you get a sentinel lymph node (SLN) biopsy? We are not barbers ladies and gentleman, and not every patient undergoing breast surgery should receive a SLN biopsy. The list of reasons to do a SLN biopsy seems to be endless: if you have ductal carcinoma in situ (DCIS), if you have a chance on an excisional biopsy that there might be cancer, if you had a preneoadjuvant chemotherapy SLN biopsy that showed metastases, if you are receiving prophylactic mastectomy, if you have an in-breast cancer recurrence, and even if you have a clinically palpable axillary lymph node before surgery.
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