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Use of sentinel-lymph-node biopsies rising in patients with inflammatory breast cancer, against guidelines


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Journal
JAMA Network Open
Reuters Health - 15/02/2022 - Sentinel-lymph-node biopsies are frequently and increasingly being used in patients with inflammatory breast cancer, contrary to guidelines which recommend axillary-lymph-node dissection for these women, a new study shows. An analysis of data from more than 1,000 adult patients diagnosed with nonmetastatic inflammatory breast cancer between 2012 and 2017 reveals that the proportion of patients receiving sentinel-lymph-node biopsies (SLNBs) rose from 11% to 22% (P=0.001), researchers report in JAMA Network Open. "Patients with inflammatory breast cancer are being increasingly commonly treated with a less aggressive surgical approach, where only the sentinel lymph nodes are biopsied, rather than the standard of care, guideline-recommended, full axillary lymph-node dissection, despite multiple studies showing that sentinel-lymph-node biopsy may be an ineffective technique in patients with inflammatory breast cancer," said coauthor Dr. Kevi...


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