Sentinel node biopsy in patients with previous breast aesthetic surgery

Julia Rodriguez Fernandez, Stefano Martella, Giuseppe Trifirò, Mujgan Caliskan, Camelia Chifu, Fabricio Brenelli, Edoardo Botteri, Fabio Rossetto, Nicole Rotmensz, Mario Rietjens, Paolo Veronesi

Research output: Contribution to journalArticlepeer-review


Background: Sentinel lymph node biopsy (SLNB) is the standard method for axillary staging of early breast cancer. Recent studies have focused on questioning the initial contraindication to the technique. There has been insufficient data to recommend SLNB in patients with previous aesthetic breast surgery. Materials and Methods: Between April 2001 and June 2007, 70 patients with previous breast aesthetic surgery underwent SLNB. Fifty had a previous breast augmentation and 20 had breast reduction mammoplasty. All patients underwent lymphoscintigraphy with 99Tc according to our standard technique and sentinel node was identified in all cases. Results: Mean age at cosmetic surgery was 38 years. Mean number of years from aesthetic surgery to the development of the tumour was 10 years. Forty-nine patients underwent conservative breast surgery and 21 patients underwent mastectomy. The sentinel node identification rate was 100%. SLN was positive in 23 patients (32%); there were 18 cases with macrometastasis and 7 cases with micrometastasis. After median follow-up of 19 months, no axillary recurrences have been observed. We observed two ipsilateral local recurrences, one contralateral tumour and one patient developed lung metastasis. Conclusions: Past history of breast augmentation or reduction is not a contraindication to SLNB technique.

Original languageEnglish
Pages (from-to)989-992
Number of pages4
JournalAnnals of Surgical Oncology
Issue number4
Publication statusPublished - Apr 2009

ASJC Scopus subject areas

  • Surgery
  • Oncology


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