Abstract

HERNANDEZ MUNOZ, Gerardo; PAREDES HANY, Ricardo; ANDRADE, Allan  and  HERNANDEZ RASQUIN, Juan. Sobrevida en pacientes con ganglios negativos que se realizaron vaciamiento axilar o ganglio centilena. Rev. venez. oncol. [online]. 2008, vol.20, n.1, pp.46-51. ISSN 0798-0582.

OBJECTIVE: The purpose of this study was to compare the survival of patients with nodes negatives that underwent sentinel node detection, and the result was compare with a historic control group with negative axillaries nodes, which we realized a axillaries dissection to the levels I and II, according to the costume of pre sentinel node era. METHOD: In our unit, we revised the files of 295 patients in whom partial oncology mastectomy with routine axillaries dissection was routine performed, in 187 of them were found lymph nodes negative, and we compared them with a 180 patients who underwent partial oncology mastectomy and sentinel node biopsy, with a combination of blue dye + technetium 99 of which 156 patients were lymph nodes negative. RESULTS: The survival in patients with axillaries dissection was (67 %) and in the group of patients that we practice sentinel node the survival were (70.1 %). When we compare both, there was not statistically significant. CONCLUSIONS: The sentinel node method has demonstrated to be an exact procedure for the staging of the axils and can replace the routine practice of the axillaries dissection.

Keywords : Sentinel node; axillaries dissection; breast cancer; axillaries staging.