What should I ask a breast surgeon about sentinel node biopsies?

The sentinel lymph node is the first lymph node to which cancer is likely to spread from the primary tumor. Cancer cells may appear in the sentinel node before spreading to other lymph nodes. A sentinel lymph node biopsy is a procedure in which the sentinel lymph node is removed and examined under a microscope to determine whether cancer cells are present.

Be sure to ask a prospective breast surgeon, “How do you do sentinel node biopsies?”Breast surgeon Dr. Shawna C. Willey thinks this is an important question that most patients don’t know to ask. “Patients should ask what technique is being used because not all sentinel node biopsies are created equal.”Also ask “What is your false negative rate for sentinel node biopsies?”

Dr. Susan Love explains in Dr. Susan Love’s Breast Book that a high number of false negatives means the surgeon has repeatedly misidentified the sentinel node. She suggests finding another surgeon if this one balks at this question, is inexperienced with this procedure, or has a high false negative rate.

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