Axillary Sampling - Sentinal - Sentinel lymph node biopsy

It is applied in cases where cancer is detected by pathology in a patient who has undergone lobectomy, and in cases where metastasis is not detected in the pre-operative examinations of the axillary lymph nodes. The aim is to find and remove the sentinel lymph node to avoid unnecessary dissection in the axillary lymph nodes.

Sentinel Lymph Node refers to the few lymph nodes where the cancer is likely to spread first if breast cancer is to spread to the armpit.

In this technique, in order to mark the Armpit Sentinel Lymph Nodes, a special blue dye is administered under the nipple and to the area thought to be a cancer mass, which will be absorbed by the tissues and easily carried to the armpit by the lymph channels. A small incision is made in the suspicious area under the armpit, which has already been marked with ultrasound guidance, and the blue-stained lymph nodes are found, removed and sent to pathology during surgery.

If no involvement is detected in the Sentinel Lymph Node in the material examined as a result of the Frozen (freezing biopsy) procedure, there is no need to remove more lymph from the Armpit Lymph Nodes.

If metastasis is detected in the Sentinel Lymph Node, the Lymph Nodes are removed one level higher. He is sent to pathology again. If the frozen result comes back clean, there is no need to remove any more lymph.

If these lymph nodes are also affected, the regional lymph must be thoroughly cleaned.

This gradual work is done to preserve as much of the person's post-operative comfort as possible.