Lymphedema and Axillary Sentinel Lymph Node Biopsy (SLNB) in Node-Negative Patients with Breast Cancer

AuthorMohammad Serajen
AuthorMohammad Esmaeil Akbarien
AuthorLeila Angooti Oshnarien
AuthorMorteza Yousefien
AuthorNajmeh Bagherhosseinien
AuthorMaryam Omrani Hashemien
OrcidMohammad Seraj [0000-0002-9526-3094]en
OrcidMohammad Esmaeil Akbari [0000-0002-9938-3587]en
OrcidLeila Angooti Oshnari [0000-0001-6059-5892]en
OrcidMorteza Yousefi [0000-0002-7334-8409]en
OrcidNajmeh Bagherhosseini [0000-0002-2269-1506]en
OrcidMaryam Omrani Hashemi [0000-0003-1216-6705]en
Issued Date2024-12-31en
AbstractBackground: Breast cancer (BC) poses a significant health concern for females, often resulting in complications such as lymphedema due to treatment effects. Objectives: This study examines the link between lymphedema and the number of removed negative axillary lymph nodes (LNs) after sentinel lymph node biopsy (SLNB) in BC patients. Methods: A prospective study from 2016 to 2019 included 150 eligible women out of 1 600 BC patients who underwent axillary sentinel node biopsy (SNB). The prognostic value of isolated negative nodes and BMI in predicting lymphedema post-SLNB was analyzed. Results: Among 950 women receiving radiotherapy, 4% developed lymphedema. Notably, patients with lymphedema were younger (average age 53.34 years). BMI didn't differ significantly, but the number of removed sentinel LN-negatives was crucial. Patients with 4 - 5 nodes removed had an 89.47% likelihood, while those with 1 - 3 nodes had zero incidence. Conclusions: BC-related lymphedema significantly impacts patient well-being. Our study establishes a direct correlation between the number of removed negative LNs and the severity of edema, emphasizing the need for further research.en
DOIhttps://doi.org/10.5812/ijcm-143398en
KeywordBreast Canceren
KeywordAxillary Sentinel Lymph Node Biopsyen
KeywordLymphedemaen
PublisherBrieflandsen
TitleLymphedema and Axillary Sentinel Lymph Node Biopsy (SLNB) in Node-Negative Patients with Breast Canceren
TypeResearch Articleen

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