breast-cancer-2016_posters-accepted-abstracts

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Volume 8, Issue 8(Suppl) J Cancer Sci Ther
ISSN: 1948-5956 JCST, an open access journal
Page 94
Notes:
Breast Cancer Congress 2016
September 19-21, 2016
conferenceseries.com
Breast Cancer September 19-21, 2016 Phoenix, USA
2nd World Congress on
Sentinel lymph node biopsy in breast cancer: The approach in day surgery under local anesthesia
for quality-of-life and significant cost reduction
Fabio Ricci, L Rossi, C De Masi, G Fanelli, M Dorkin, A M D Achille, S Tomao, D Ribuffo, C Della Rocca and G De Toma
Sapienza University of Rome, Italy
S entinel lymph node biospy (SLNB) is widely used in the management of breast cancer patients. Purpose of the study
is to investigate the approach in day-surgery (DS) under local anesthesia (LA), for quality of life and significant cost
reduction. We performed 652 quadrantectomy and SLNB in day-surgery (DS) under local anesthesia (LA) at the same time.
All patients underwent pre-operative lymphoscintigraphy with injection of 12-15 MBq 99Tc colloidal albumin particles.
All patients underwent surgical treatment 3-12 h later. Axillary incision was 3-4 cm. 10 patients underwent pre-operative
lymphoscintigraphy the radiotracer did not show any sentinel lymph node (SLN), in 6 cases we performed axillary dissection
(AD). In 3 cases the axilla was positive. In 15 cases of multifocal (MF) and 10 of multi-centric (MC) invasive breast cancer, the
SLN was identified in axilla and SLNB was performed. Only 2 case of MC cancer the SLN was positive. 30 patients classified
T4b, were treated with neo-adjuvant chemotherapy (NC). After completion of NC, we performed SLNB. In these patients
SLN was negative. 14 cases showed axillary isolated tumor cells (ITC), 39 micrometastases and 69 macrometastases. The SLN
identification rate was 99%. This approach is safe, well accepted by patients who reported with a questionnaire better quality
of life (99%). We observed less incidence of nosocomial infection and loss of working days. Operations in DS and LA can be
easily managed, leading to a significant cost reduction over 55% less expensive than the same operation performed under
general anesthesia.
Biography
Fabio Ricci graduated in Medicine and Surgery with Honors, University of Rome “La Sapienza” in 1984. He is specializing in Gynecology and Oncology with honors.
He is a breast specialist surgeon and Surgeon General. He is the author and co-author for 80 scientific papers published in national and international journals.
Fabio Ricci et al., J Cancer Sci Ther 2016, 8:8(Suppl)