Sentinel Lymph Node Biopsy in Breast Cancer

Breast cancer is a common type of cancer. It affects both men and women. When determining the stage and treatment plan for breast cancer, it is critical to assess whether cancer cells have spread to the lymph nodes.

Are you facing uncertainty about breast cancer diagnosis? Worried about invasive procedures? Dr. Garvit Chitkara, a highly acclaimed breast cancer surgeon in Mumbai, offers a solution with (SLNB) sentinel lymph node biopsy in breast cancer. This advanced technique provides accurate staging. It is less invasive and ensures targeted treatment. 

This revolutionary technique has transformed the landscape of breast cancer treatment. SLNB precisely identifies and evaluates the first lymph node(s) where cancer is likely to spread. In comparison, traditional methods may involve removing multiple lymph nodes.

In this article, we will discuss SLNB, its purpose, procedure, and significance in managing breast cancer.

Keen to know more about sentinel lymph node biopsy? Let’s explore.

Introduction of Sentinel Lymph Node Biopsy in Breast Cancer

Sentinel lymph node biopsy in breast cancer is a crucial procedure for staging and treatment planning. Sentinel lymph node biopsy (SLNB) is a minimally invasive procedure. It is used to assess the lymph nodes near the breast for signs of cancer spread. According to studies, SLNB accuracy rates range from 94% to 99%. This means more targeted treatment with minimal invasiveness.

During SLNB, the sentinel lymph node is identified and removed. It is the first node where cancer is likely to spread. SLNB helps determine the extent of cancer spread without requiring extensive lymph node removal. This offers fewer side effects and faster recovery than traditional lymph node dissection. It gives accurate staging information, allowing for tailored treatment plans. Dr. Garvit Chitkara specializes in sentinel lymph node biopsy, ensuring precise diagnosis and optimal patient outcomes.

Schedule a consultation to explore your breast cancer treatment options.

Let’s know the role of SLNB in breast cancer diagnosis and treatment. 

Purpose of Sentinel Lymph Node Biopsy 

The primary purpose of SLNB is to determine the status of the lymph nodes closest to the breast tumor. It helps in accurately staging the cancer and guiding treatment decisions. SLNB reduces the need for more extensive lymph node surgery. Lymph nodes are small, bean-shaped organs in the immune system. They act as filters for harmful substances. 

When cancer cells metastasize, they typically spread to nearby lymph nodes first. This minimally invasive procedure targets the sentinel lymph node. Doctors can assess the extent of the cancer spread by analyzing this node. It helps them tailor treatment plans accordingly. This ensures more precise and effective patient care.

Ready to take the next step towards informed care? Book an appointment with Dr. Garvit Chitkara today.

Discover what to expect during an SLNB. Let’s understand the process step by step.

Procedure of Sentinel Lymph Node Biopsy 

1. Preparation:

• You’ll receive instructions on fasting before the procedure.
• Inform your doctor about any medications or allergies.

2. Anesthesia:

• You’ll be given local or general anaesthesia to numb the area or put you to sleep.

3. Injection of Dye or Radioactive Substance:

• The surgeon injects a dye or radioactive substance near the tumor site.
• It travels to the sentinel lymph node, marking it for identification.

4. Incision:

• The surgeon makes a small incision near the tumor site.

5. Identification of Sentinel Lymph Node:

• The surgeon then uses a special probe or gamma camera to locate the sentinel node(s).

6. Removal:

• Once identified, the surgeon makes a small incision to remove the node(s) for further analysis. 

7. Pathology Examination:

• The removed lymph node is sent to the lab for examination.

8. Closure:

• The surgeon closes the incision with stitches or surgical tape.

9. Recovery:

• You’ll be monitored for a short while post-procedure.
• Most patients can return home the same day.

10. Follow-up:

• Results are usually available in a few days.
• Your doctor will discuss the findings and plan further treatment if necessary.

If the pathology test of the sentinel lymph node(s) reveals no cancer cells, the cancer likely has not spread beyond the node(s) examined. But, if cancer cells are detected, a more extensive lymph node dissection may be required.

Let’s understand the importance of SLNB for accurate breast cancer diagnosis.

Significance of Sentinel Lymph Node Biopsy 

· Understand the extent of cancer spread: 

SLNB helps determine if cancer has spread to nearby lymph nodes. It is crucial for planning treatment.

· Minimize invasiveness: 

Unlike traditional lymph node dissection, SLNB targets only the nodes most likely to contain cancer cells. This reduces the need for extensive surgery.

·Tailored treatment approach: 

Accurate staging provided by sentinel lymph node biopsy allows personalized treatment plans. This ensures patients receive the most effective treatments.

· Reduced risk of complications: 

This procedure lowers the risk of complications such as lymphedema by pinpointing specific lymph nodes. It promotes faster recovery and better quality of life.

· Improved prognosis: 

Early detection of lymph node involvement through SLNB leads to timely interventions. This potentially improves long-term outcomes for breast cancer patients.

Ready to prioritize your health? Reach out to Dr. Garvit Chitkara and take control of your breast cancer journey.

Conclusion 

Sentinel lymph node biopsy is a vital procedure in breast cancer management. It allows doctors to determine the spread of cancer without resorting to extensive lymph node removal. The procedure plays a pivotal role in the accurate diagnosis, staging, and tailored breast cancer treatment. It also helps maintain the patient’s quality of life. Breast cancer patients should consult their healthcare team to determine if SLNB is appropriate for them.

Remember that your health is your greatest asset. Stay informed and proactive, and take control of your well-being. Trust in the expertise of professionals like Dr. Garvit Chitkara to guide your medical journey with compassion and precision. Embrace the power of knowledge. Make informed decisions that pave the way for a healthier future.

‌Know the answers to common queries on sentinel lymph node biopsy.

Frequently Asked Questions: 

1. Is sentinel lymph node biopsy necessary for all breast cancer patients? 

It is ideal for patients with early-stage breast cancer. It helps accurately stage the disease and determine further treatment, such as chemotherapy or radiation.

2. Are there any risks associated with sentinel lymph node biopsy? 

While rare, potential risks include:

• infection
• bleeding
• lymphedema (lymph fluid buildup)
• allergic reactions to the dye or anaesthesia

3. What is the recovery time after sentinel lymph node biopsy? 

Recovery typically takes a few days to a week, with minimal discomfort. Patients can resume normal activities gradually.

4. Will sentinel lymph node biopsy affect my long-term prognosis? 

When performed by an experienced surgeon like Dr. Garvit Chitkara, SLNB can accurately stage the cancer. It helps determine the most effective treatment approach for improved long-term outcomes.

5. How accurate is a sentinel lymph node biopsy in detecting cancer spread?

Sentinel lymph node biopsy is highly accurate. It has a success rate of over 95% in identifying whether cancer has spread to nearby lymph nodes.

6. Can a sentinel lymph node biopsy be performed alongside breast cancer surgery? 

Yes, SLNB can often be done during the breast cancer surgery. These include lumpectomy or mastectomy.

7. Is sentinel lymph node biopsy and axillary lymph node dissection different? 

SLNB involves removing only a few sentinel lymph nodes for examination. Axillary lymph node dissection entails removing many lymph nodes from the underarm area.

Reference links:

https://www.cancer.gov/about-cancer/diagnosis-staging/staging/sentinel-node-biopsy-fact-sheet

https://www.cancer.org/cancer/types/breast-cancer/treatment/surgery-for-breast-cancer/lymph-node-surgery-for-breast-cancer.html