A sentinel node is the first lymph a tumor drains into. So, it's the first place that cancer is likely to spread. In breast cancer, the sentinel node is usually one of the axillary lymph nodes in the armpit. A sentinel node breast biopsy can be performed at the same time as a lumpectomy or a mastectomy. During the biopsy, one or more lymph nodes are removed. These are sent to the lab to be studied. If there are cancer cells in the sentinel node, this means the cancer has likely spread outside the breast. But if no cancer cells are found in the sentinel node, this means the cancer has probably not spread. A sentinel node biopsy gives the doctors valuable information, with less risk to you than some other procedures.
There are two methods for finding the sentinel node. Your surgeon may do one or both of these techniques:
A blue dye may be injected near the breast tissue. Then, its path into the lymph nodes is tracked. The dye collects in the sentinel node.
A small amount of a safe radioactive solution may be injected near the tumor. A gamma detector is then used to find the "hotspot," which is the node where the solution has collected.
Lymph node surgery involves certain risks. Your surgeon can discuss them with you. These include:
Fluid collection (seroma)
Pain or numbness
Long-term swelling of the arm (lymphedema)
Publication Source: Veronesi U et al
Online Source: Veronesi U et al
Date Last Reviewed: 2007-01-15T00:00:00-07:00
Date Last Modified: 2005-09-28T00:00:00-06:00
Dr. Marsha Bornt started seeing me when I was in my early twenties (20 years ago). After seeing many doctors, she was the 1st doctor to diagnose me with endometriosis. I went on to have many laparoscopies with her over the years. In my thirties I moved about 45-50 min away from Apple Hill, so I ended up seeing another doctor who performed another laparoscopy...
Staff was very friendly and professional. I had a few questions that the doctor was more than happy to answer for me. I got all that needed to be done in a very timely manner. I was very pleased with my visit. Trying to find a parking spot was very frustrating though. Arrive at least 15 minutes prior to your appointment.
I am always glad to meet with Dr. Bornt. She is very pleasant and makes sure she has answered all your questions or concerns. She is very thorough in her approach about your medical history . . .wants only the best for you as her patient.