caa a22 4500 44533519X CHVBK 20180317142752.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1245/s10434-010-1120-2 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1120-2 Sentinel Lymph Node Biopsy in Patients with Previous Ipsilateral Complete Axillary Lymph Node Dissection [Elektronische Daten] [Paramjeet Kaur, John Kiluk, Tammi Meade, Daniel Ramos, William Koeppel, Julia Jara, Jeff King, Charles Cox] Background: Prior ipsilateral completion axillary lymph node dissection (CALND) may be considered a contraindication to performing a sentinel lymph node (SLN) mapping in a patient with recurrent breast carcinoma. However, reoperative SLN biopsy following axillary dissection would determine if alternative lymphatic drainage pathways exist. If nodes were found to contain metastatic disease, staging and locoregional control of the disease could be affected. Materials and Methods: An institutional breast cancer database and electronic health record (IRB No. 102554) prospectively accrued 6225 patients between 1994 and 2007. Under separate IRB approval (IRB No. 102552), this database was queried for patients with a prior history of CALND who received a SLN biopsy. Patients' demographic, clinical, and treatment variables were recorded. Results: Of the 6225 patients, 45 (0.7%) were identified as having previously undergone breast-conservation surgery, CALND, and ipsilateral reoperative SLN mapping and biopsy. Of the 45 patients, 13 (29%) had a successful ipsilateral reoperative SLN mapping and biopsy. Nonaxillary drainage was identified in 5 patients with reoperative SLN biopsy. Conclusion: Reoperative SLN mapping and biopsy is feasible in the setting of local recurrence after previous CALND. This procedure performed for breast cancer recurrence provides important staging information while identifying extra-axillary drainage that could affect both staging and local control. Society of Surgical Oncology, 2010 Kaur Paramjeet H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Kiluk John H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Meade Tammi H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Ramos Daniel H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Koeppel William H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Jara Julia H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut King Jeff H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Cox Charles H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut Annals of Surgical Oncology Springer-Verlag 18/3(2011-03-01), 727-732 1068-9265 18:3<727 2011 18 10434 https://doi.org/10.1245/s10434-010-1120-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1120-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kaur Paramjeet H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- Kiluk John H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- Meade Tammi H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- Ramos Daniel H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- Koeppel William H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- Jara Julia H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- King Jeff H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 700 1- Cox Charles H. Lee Moffitt Cancer Center & Research Institute (MCC), Tampa, FL, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/3(2011-03-01), 727-732 1068-9265 18:3<727 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer