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Erschienen in: Virchows Archiv 1/2022

23.06.2021 | Review and Perspectives

Sentinel lymph node assessment in breast cancer—an update on current recommendations

verfasst von: Gábor Cserni, Aoife Maguire, Simonetta Bianchi, Ales Ryska, Anikó Kovács

Erschienen in: Virchows Archiv | Ausgabe 1/2022

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Abstract

Sentinel lymph node biopsy (SLNB) has become the preferred method of surgical pathological nodal staging of early breast cancer by the end of the nineties. As the most likely sites of metastasis, the SLNs allow a more precise staging, and indeed gross sectioning, step sectioning, immunohistochemistry, and molecular staging methods have been used to disclose metastatic involvement of these lymph nodes. This review summarizes the backgrounds of SLNB, trends in related surgery and pathology. It also gives an insight into European National recommendations related to SLN and divergent daily practices in European pathology departments, on the basis of replies to questionnaires from 84 pathologists from 38 European countries. The questionnaires revealed the post-neoadjuvant setting as an area where a significant minority of pathologists report less confidence in classifying residual nodal involvement into TNM categories. The review also summarizes the neoadjuvant therapy-related aspects of SLNB.
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Metadaten
Titel
Sentinel lymph node assessment in breast cancer—an update on current recommendations
verfasst von
Gábor Cserni
Aoife Maguire
Simonetta Bianchi
Ales Ryska
Anikó Kovács
Publikationsdatum
23.06.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Virchows Archiv / Ausgabe 1/2022
Print ISSN: 0945-6317
Elektronische ISSN: 1432-2307
DOI
https://doi.org/10.1007/s00428-021-03128-z

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