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Sentinel Node Biopsy

Conserving-Surgery

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A technique used to assess for small amount of cancer in the lymph nodes without having to remove all the lymph nodes (axillary dissection)

The sentinel lymph node(s) is the first draining node within a basin of lymph nodes.

It is located by injecting two dyes around the periareolar margin or  around the the tumour site, just prior to surgery.

Standard dyes are radioactive and patent blue dye, and the sentinel node is detected using a gamma probe and visually.  There are now emerging techniques using a magnetic tracer to find iron particles, as visually looking for carbon particles.

Accuracy 97%. False negative rate 7%-12%. These figures can be obtained only by a surgeon well trained in this area.

Significant decrease of complications commonly associated with axillary dissection : Seroma, lymphoedema (arm swelling), shoulder stiffness, parasthesia ( tingling and numbness of upper inner arm).

Procedure

Under general anaesthesia, with the actual breast surgery or prior.

Minimally invasive with either a small incision (1.5-2.5cm) under the armpit, or accessible through breast incision for removal of the breast cancer.

Precise location can be achieved with little trauma to the surrounding tissue using the localisation techniques of a gamma probe and visualising the blue dye.

No drains required.

If performed solitarily, requires only a day stay.  If performed in conjunction with breast surgery,  follow post  operative advice of the breast surgery.

Potential Complications

Bleeding

Wound Infection

Seroma (fluid collection )

Post Operative Care

Keep wound dry

No driving /heavy lifting for 2 weeks

What’s the next step?

The next step is to book a consultation with our qualified team.
You can book your treatment online or call our friendly team on 03 9041 8445.

Professional Associations and Memberships

Contact

To assist patients, Dr Yap consults and operates at a number of locations across Melbourne.
There is a centralised booking process from the main rooms.

Main Rooms:
St Vincent’s Private
Suite 8, Level 4,
55 Victoria Parade,
Fitzroy 3065

Other Locations:
The Valley Pvte, Cnr Police & Gladstone Road., Mulgrave 3170

Melbourne Eastern Pvte, 157 Scoresby Rd, Boronia, 3155

Ringwood Pte, 36 Mt Dandenong Rd., Ringwood East 3135

Latrobe Pvte, Cnr Plenty Rd. & Kingsbury Dv.,Bundoora 3083

Reservoir Private, 73 Pine St., Reservoir 3073

Phone Number
03 9041 8445

Mobile Number
0413 162 462

Fax Number
03 9041 8445

Email
dr.nicole yap@gmail.com

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© 2022 Dr Nicole Yap