Le prélèvement du ganglion sentinelle sous anesthésie locale ou comment s’affranchir des limites de l’analyse histologique peropératoire
| Autor: | J. Bouquier, E. Barranger, O. Morel, D. Clément, R. Lousquy, C. Malartic |
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| Rok vydání: | 2008 |
| Předmět: |
Frozen section procedure
medicine.medical_specialty business.industry medicine.medical_treatment Lumpectomy Sentinel lymph node Axillary Lymph Node Dissection Obstetrics and Gynecology General Medicine medicine.disease Surgery Breast cancer Under local anaesthesia Reproductive Medicine medicine General anaesthesia Imprint cytology Nuclear medicine business |
| Zdroj: | Gynécologie Obstétrique & Fertilité. 36:79-84 |
| ISSN: | 1297-9589 |
| DOI: | 10.1016/j.gyobfe.2007.09.020 |
| Popis: | The sentinel lymph node procedure has become the standard in the surgical management of localised breast cancer. However, it is submitted to the uncertainties of intraoperative examination. Indeed, intraoperative examination has three major disadvantages: the type of histological method (frozen section versus imprint cytology), the size of sentinel node metastasis (macro- versus micrometastases) and the time requested for this technique. All of these limits are responsible for secondary re-interventions to complete axillary lymph node dissection. Few medical teams have described a new surgical strategy to avoid these limits. They proposed the detection of the sentinel lymph node under local anaesthesia and to wait for the definitive histological analysis before carrying out lumpectomy and axillary lymphadenectomy if necessary under general anaesthesia. We realized a review of the literature on this new procedure to evaluate its feasibility and to assess the technical aspects. |
| Databáze: | OpenAIRE |
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