학술논문
Comparative Analysis of Postoperative Complications of Sentinel Node Identification Using the SentiMag ® Method and the Use of a Radiotracer in Patients with Breast Cancer.
Document Type
Academic Journal
Author
Lorek A; Department of Oncological Surgery, Kornel Gibiński Independent Public Central Clinical Hospital, Medical University of Silesia in Katowice, 40-514 Katowice, Poland.; Steinhof-Radwańska K; Department of Radiology and Nuclear Medicine, Kornel Gibiński Independent Public Central Clinical Hospital, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.; Zarębski W; Department of Oncological Surgery, Kornel Gibiński Independent Public Central Clinical Hospital, Medical University of Silesia in Katowice, 40-514 Katowice, Poland.; Lorek J; Department of Surgery, Ludwig Rydygier Hospital sp. z.o.o., 31-826 Krakow, Poland.; Stojčev Z; Teaching Department of Oncology and Breast Diseases, Central Teaching Hospital of the Ministry of Internal Affairs and Administration, Wołoska 137, 02-507 Warsaw, Poland.; Zych J; Medical Faculty, Medical University of Silesia in Katowice, 40-514 Katowice, Poland.; Syrkiewicz A; Medical Faculty, Medical University of Silesia in Katowice, 40-514 Katowice, Poland.; Niemiec P; Department of Biochemistry and Medical Genetics, School of Health Sciences, Medical University of Silesia in Katowice, 40-752 Katowice, Poland.; Szyluk K; Department of Physiotherapy, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, 40-752 KatowiSce, Poland.; Department of Orthopaedic and Trauma Surgery, District Hospital of Orthopaedics and Trauma Surgery, 41-940 Piekary Śląskie, Poland.
Source
Publisher: MDPI Country of Publication: Switzerland NLM ID: 9502503 Publication Model: Electronic Cited Medium: Internet ISSN: 1718-7729 (Electronic) Linking ISSN: 11980052 NLM ISO Abbreviation: Curr Oncol Subsets: MEDLINE
Subject
Language
English
Abstract
(1) Background: The purpose of the study was a retrospective, comparative assessment of complications of the surgical sentinel node biopsy (SNB) procedure in breast cancer using the radiotracer method and the SentiMag ® method on groups of patients after 3.5 years of use. (2) Methods: The material was a group of 345 patients with primary surgical breast cancer who underwent the SNB procedure with the use of a radiotracer in combination with wide local excision (WLE), simple amputation (SA) with SNB and an independent SNB procedure in the period from May 2018 to January 2021 in the Department of Oncological Surgery. Of the patients who were monitored in the Hospital Outpatient Clinic, 300 were enrolled. The analyzed group was compared in terms of the occurrence of the same complications with the group of 303 patients also operated on in our center in the period from January 2014 to September 2017, in which SN identification was performed using the SentiMag ® method. (3) Results: The most common complications found were sensation disorders in the arm, which occurred in 16 (14.1%) patients using the radiotracer method, SentiMag ® -11 (9.9%). By comparing the complication rate between the methods with the radiotracer (n = 300) and SentiMag ® (n = 303), no significant differences were found. (4) Conclusions: Sentinel node (SN) identification using the radiotracer method and the SentiMag ® method are comparable diagnostic methods in breast cancer, with a low risk of complications.