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Peintinger, F; Reitsamer, R; Ralph, G.
Implementation of sentinel lymph node biopsy with blue dye outside a specialized center: can we improve quality assurance?
Breast J. 2005; 11(2): 103-107.
Doi: 10.1111/j.1075-122X.2005.21538.x
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Peintinger Florentia
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- Abstract:
- Implementation of sentinel lymph node biopsy (SLNB) outside a specialized center requires adequate quality control and quality assurance for optimal patient care. We examine the model of a supervising breast cancer unit in improving quality assurance in the treatment of breast cancer patients. A total of 76 SLNBs followed by level I/II axillary dissection were performed in the general hospital by using patent blue V alone. Patient selection, technical information, documentation, pathologic examination of the sentinel lymph node (SLN), and surgical training were provided by the supervising breast cancer unit. In 73 of 76 SLNBs, identification of the sentinel node was successful. The false-negative rate was 2.7% and the accuracy was 98.6%. The results of the procedure in the general hospital were comparable with the results of the supervising breast cancer unit. The model of a supervising breast cancer unit seems to accelerate surgeons' learning curve and may provide support for appropriate application of the SLNB in a wider number of nonspecialized centers.
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Adult -
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Breast Neoplasms - pathology Breast Neoplasms - radionuclide imaging
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False Negative Reactions -
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Female -
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Hospitals, General - standards
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Humans -
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Middle Aged -
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Neoplasm Invasiveness -
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Neoplasm Staging -
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Quality Assurance, Health Care -
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Rosaniline Dyes - diagnostic use
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Sentinel Lymph Node Biopsy - methods Sentinel Lymph Node Biopsy - standards
- Find related publications in this database (Keywords)
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breast cancer
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learning curve
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quality assurance
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sentinel lymph node biopsy