Review Article

Nodal Status Assessment in Breast Cancer: Strategies of Clinical Grounds and Quality of Life Implications

Table 2

Characteristics of studies including systematic review and suggested issues (QIs) for improvement in sentinel node procedures.

TrialSLN identifiedEvaluable ptsFN rateTracersInjection sitesQuality indicators

Veronesi et al., 2010 [17]100%5161.2%RadiocolloidClose to the tumorWide exclusion criteria
Zavagno et al., 2008 [18]95%66216.7%RadiocolloidSubdermallyWide inclusion criteria
Goyal et al., 2006 [21]96.1%8426.7%Both dye and radiocolloidPeritumoralDual mapping tracers
Krag et al., 2007 [27]97.2%26191–17%Both dye and radiocolloidPeritumoralDual mapping tracers/number of removed nodes
Buonomo et al., 2009 [19]97.7%1683.7%RadiocolloidSubdermally/peritumoralHigh Risk DCIS treatment
Pathologic evaluation protocol
Anan et al., 2006 [23]96.6%1454.9%DyeSubareolar/peritumoralDual site mapping
Dual mapping tracers
Noguchi, 2009 [28]99.5%2018.5%Both dye and radiocolloidSubareolar/peritumoralDual site mapping
Dual mapping tracers
Brenot-Rossi 2003 [25]90.7%3326.6%RadiocolloidSubareolar/peritumoralFailure/negative scintigraphy
Unsuccessful mapping/skipping foci
Bourgeois 2008 [29]90%5215–23.8%RadiocolloidSubareolar/peritumoralUnsuccessful mapping
Rescue injection technique

SLN: sentinel lymph node; QIs: quality indicator.