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Cserni, G; Amendoeira, I; Apostolikas, N; Bellocq, JP; Bianchi, S; Bussolati, G; Boecker, W; Borisch, B; Connolly, CE; Decker, T; Dervan, P; Drijkoningen, M; Ellis, IO; Elston, CW; Eusebi, V; Faverly, D; Heikkila, P; Holland, R; Kerner, H; Kulka, J; Jacquemier, J; Lacerda, M; Martinez-Penuela, J; De Miguel, C; Peterse, JL; Rank, F; Regitnig, P; Reiner, A; Sapino, A; Sigal-Zafrani, B; Tanous, AM; Thorstenson, S; Zozaya, E; Wells, CA.
Pathological work-up of sentinel lymph nodes in breast cancer. Review of current data to be considered for the formulation of guidelines.
Eur J Cancer. 2003; 39(12):1654-1667 Doi: 10.1016%2FS0959-8049%2803%2900203-X
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Co-Autor*innen der Med Uni Graz
Regitnig Peter
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Abstract:
Controversies and inconsistencies regarding the pathological work-up of sentinel lymph nodes (SNs) led the European Working Group for Breast Screening Pathology (EWGBSP) to review published data and current evidence that can promote the formulation of European guidelines for the pathological work-up of SNs. After an evaluation of the accuracy of SN biopsy as a staging procedure, the yields of different sectioning methods and the immunohistochemical detection of metastatic cells are reviewed. Currently published data do not allow the significance of micrometastases or isolated tumour cells to be established, but it is suggested that approximately 18% of the cases may be associated with further nodal (non-SN) metastases, i.e. approximately 2% of all patients initially staged by SN biopsy. The methods for the intraoperative and molecular assessment of SNs are also surveyed.
Find related publications in this database (using NLM MeSH Indexing)
Breast Neoplasms - pathology
Female - pathology
Humans - pathology
Neoplasm Metastasis - pathology
Observer Variation - pathology
Practice Guidelines as Topic - pathology
Predictive Value of Tests - pathology
Prognosis - pathology
Reverse Transcriptase Polymerase Chain Reaction - methods
Sensitivity and Specificity - methods
Sentinel Lymph Node Biopsy - methods

Find related publications in this database (Keywords)
sentinel lymph nodes
breast cancer
micrometastasis
isolated tumour cell
occult metastasis
survival
non-sentinel node metastasis
frozen section
intraoperative cytology
molecular analysis
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