Can interpectoral nodes be sentinel nodes?

Bale, Asha; Gardner, Bernard; Shende, Manisha; Fromowitz, Frank B.

doi:10.1016/s0002-9610(99)00199-3

Cited by 17 publications

(15 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Besides the axilla and internal mammary chain, breast cancer spreads to interpectoral nodes (Rotter's nodes) in 3 -14% of the patients (Cody III et al, 1984;Dixon et al, 1993;Bale et al, 1999). A Rotter's node is the only site of metastatic involvement in a small number of patients (Cody III et al, 1984;Dixon et al, 1993;Bale et al, 1999).…”

mentioning

confidence: 99%

“…A Rotter's node is the only site of metastatic involvement in a small number of patients (Cody III et al, 1984;Dixon et al, 1993;Bale et al, 1999). The importance of intraparenchymal and supra-and infraclavicular lymph nodes in breast cancer is unknown and involvement of these lymph nodes has been described only incidentally (Hyman and Abellera, 1974;Veronesi et al, 1987;Nathanson and Wachna, 1999;Rull et al, 1999).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Impact of non-axillary sentinel node biopsy on staging and treatment of breast cancer patients

et al. 2002

View full text Add to dashboard Cite

The purpose of this study was to evaluate the occurrence of lymphatic drainage to non-axillary sentinel nodes and to determine the implications of this phenomenon. A total of 549 breast cancer patients underwent lymphoscintigraphy after intratumoural injection of 99m Tc-nanocolloid. The sentinel node was intraoperatively identified with the aid of intratumoural administered patent blue dye and a gamma-ray detection probe. Histopathological examination of sentinel nodes included step-sectioning at six levels and immunohistochemical staining. A sentinel node outside level I or II of the axilla was found in 149 patients (27%): internal mammary sentinel nodes in 86 patients, other non-axillary sentinel nodes in 44 and both internal mammary and other non-axillary sentinel nodes in nineteen patients. The intra-operative identification rate was 80%. Internal mammary metastases were found in seventeen patients and metastases in other non-axillary sentinel nodes in ten patients. Staging improved in 13% of patients with non-axillary sentinel lymph nodes and their treatment strategy was changed in 17%. A small proportion of clinically node negative breast cancer patients can be staged more precisely by biopsy of sentinel nodes outside level I and II of the axilla, resulting in additional decision criteria for postoperative regional or systemic therapy.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Impact of non-axillary sentinel node biopsy on staging and treatment of breast cancer patients

et al. 2002

View full text Add to dashboard Cite

show abstract

“…In upper quadrants or deep breast cancers the interpectoral nodes may be the earliest site of nodal metastasis. This may lead to false negative results in some sentinel node biopsies [6] . Breast cancer patients with interpectoral nodes metastases and negative axillary lymph nodes was found [2,8] , and recurrence at the interpectoral nodes can be the initial site of surgical failure [3,9] .…”

Section: Discussionmentioning

confidence: 99%

Interpectoral nodes metastases in breast cancer

Zhou¹,

Jia-xiang²,

Liu³

et al. 2008

Chin. J. Cancer Res.

View full text Add to dashboard Cite

Objective: To study interpectoral nodes metastasis rate in breast cancer and its clinical significance. Methods: 171 female patients undergone surgery for breast cancer were reviewed, of whom the interpectoral nodes were subjected to pathological examination. Results: Interpectoral nodes were identified in 25.7% of the 171 female patients, and the interpectoral nodes metastasis rate was 9.9%. The patients with interpectoral nodes metastasis had larger tumor size, later TNM classification, higher axillary apical nodes metastasis rate and lower ER positive rate. Conclusion: Dissection of interpectoral nodes should be regard as routine clinical practice in modified radical mastectomy, and interpectoral nodes should be subjected to pathological examination.

show abstract

“…Il ne s'agit pas d'une structure constante [1,2]. Leur fréquence varie entre 5 et 80 % [3][4][5][6][7][8][9]. Le drainage de ce groupe ganglionnaire interpectoral provient des lymphatiques rétromammaires.…”

unclassified

“…Chez certains individus, la partie supérieure et profonde du parenchyme mammaire se drainerait directement vers les ganglions interpectoraux [6,10]. Cette particularité anatomique expliquerait que les ganglions interpectoraux constituent un site potentiel métastatique sans atteinte du creux axillaire [11].…”

unclassified