Breast Cancer Center

Sentinel Lymph Node Biopsy

What is a sentinel lymph node biopsy?

A sentinel node biopsy is a type of surgery that checks to see if cancer has spread from a primary tumour to the lymphatic system. It is most often used to check for breast cancer and melanoma.

The first few lymph nodes that a tumour drains into are the sentinel nodes. For a sentinel node biopsy, a tracer material is injected. This helps the surgeon find the sentinel nodes while they are operating. The sentinel nodes are taken out and looked at in a lab.

If cancer hasn’t spread and the sentinel lymph nodes are clear, there’s no need to take out any more lymph nodes. If the SLNB comes back negative, that means cancer hasn’t progressed to any of the lymph nodes or other organs in the area.

If the sentinel lymph node biopsy (SLNB) comes back positive, it means that cancer has progressed to the lymph nodes in the immediate area (these are called regional lymph nodes) and perhaps beyond. Cancer’s stage (how far it has spread throughout the body) and treatment options can be narrowed down with this data.

If a sentinel lymph node biopsy shows that you have cancer, your doctor may suggest that more lymph nodes be taken out.

What is a lymph node?

The lymphatic system is made up of small, round organs called lymph nodes. The immune system includes the lymphatic system. It is made up of a network of blood vessels and organs that carry lymph, a clear fluid that carries white blood cells that fight infections as well as fluid and waste from the cells and tissues of the body. Lymph can also carry cancer cells that have broken off from the main tumour in a person with cancer.

What is a sentinel lymph node?

A sentinel lymph node is the first lymph node that cancer cells from a primary tumour are most likely to spread to. There isn’t always just one sentinel lymph node.

What takes place during a biopsy of a sentinel lymph node?

A radiotracer is a type of marker that is injected around the tumour by a doctor. The radiotracer moves through the lymphatic system, which is a path or network of lymph channels and nodes. This lets the surgeon see which lymph nodes drain the tumour first and find a sentinel lymph node.

Then, the doctor makes a small cut in the skin and looks for the lymph node that needs to be taken out. The lymph node is looked at by a pathologist to see if it has cancer.

Why is a sentinel lymph node biopsy a good idea?

This method involves making a smaller cut and can keep people from needing more invasive surgery. It can cut down on the time it takes to get better after surgery and lower the risk of side effects like lymphedema, which is swelling that happens when more lymph nodes are taken out.

Most of the time, a sentinel lymph node biopsy is done as an outpatient procedure. This means that the patient can leave the hospital the same day unless they need more surgery.

What are the risks of taking a sample from a sentinel lymph node?

The risks are very low, but there is a very small chance, between 2% and 4%, that a sentinel lymph node might not be found.

Some patients worry about the radiotracer that is used to find the sentinel lymph node. Even though the tracer is radioactive, the particle it sends out has very low energy. There have been no reports of serious side effects, and the only bad thing is that sometimes the injection hurts for a short time.

Patients who have a sentinel lymph node biopsy may also get lymphedema, but it’s less likely than in those who have open surgery.

Can all types of cancer be staged with the help of SLNB?

No. Most of the time, SLNB is used to help figure out the stage of breast cancer and melanoma. It is sometimes used to find out how far along endometrial and penile cancers are (2). But it is being studied with other types of cancer, such as vulvar and cervical cancer (3), colorectal, gastric, oesophagal, head and neck, thyroid, and non-small cell lung cancer (4).

Dr. Mansi is the go-to guy for breast cancer procedures

Having practised surgical oncology for over 12 years, Dr Mansi Chowhan has earned a stellar reputation in her speciality. Her specialities as an oncoplastic breast surgeon, head and neck surgeon, and plastic surgeon make her an exceptional medical professional.

Dr Mansi has been practising medicine for over a decade, and she has served as a physician at prestigious institutions like Fortis Healthcare (both in Delhi and Gurgaon), Artemis Hospital (also in Gurgaon), Paras Hospital (also in Gurgaon), and the Asian Institute of Medical Sciences (AIMS) (Faridabad).





About
Dr. Mansi Chowhan
Oncoplastic Breast Surgeon-Surgical Oncologist
MS (Gold Medalist), FIAGES, MCh Breast Oncoplasty (UK), Fellow Breast Surgery (Paris), Fellow Head & Neck Surgery, IFHNOS – MSKCC (New York)

Dr. Mansi Chowhan -Breast Cancer Specialist-Surgical Oncology team at CK Birla Hospitals, Gurugram. Breast Cancer Treatment, Axillary surgery , Benign Breast Cancer Diseases , Breast Cancer Genetics , Breast Cancer Management , Breast Cancer Surgery , Breast Cancer Treatment , Breast Examination , Breast Infection or Mastitis , Breast Lump , Breast Cancer Lump Treatment , Breast Oncoplasty , Breast Cancer Pain Treatment , Breast Precancerous lesions , Breast Reduction , Breast Cancer Surgery , Breast Surgery for Benign lesions , Breast Cancer Screening (Preventive) , Breast Cancer Surgery , Breast Cancer Chemotherapy , Comprehensive Breast Cancer Management , Endocrine Surgery , Gynecomastia Treatment / Surgery , Hormone Therapy For Breast Cancer , Breast Cancer Immunotherapy , Male Breast Cancer , Mastectomy , Nipple Discharge , Surgical Oncology , Volume displacement Oncoplasty , Volume replacement Oncoplasty ,Breast Cancer treatment Hereditary breast cancer Breast lumps Benign breast diseases Fibrocysts of breast Nipple discharge Mastalgia Breast conservation Surgery Breast Oncoplasty level Modified Radical Mastectomy Therapeutic Mammoplasty Sentinel Lymph Node Biopsy ICG dye Sentinel LN Biopsy Axillary Dissection Breast Lump Excision Radio-Guided breast Surgery Palliative Mastectomy Breast Reconstruction Bilateral Prophylactic Mastectomy reconstruction Surgery for nipple discharge

Dr. Mansi Chowhan is an expert Oncoplastic Breast Surgeon with experience of more than 14 years and has been awarded with a gold medal during her surgical post-graduation. Dr. Mansi is well-trained from world renowned surgeons and cancer institutions like the Paris Breast Centre, Memorial Sloan Kettering Cancer Centre (New York), University of East Anglia (U.K.) and Tata Memorial Hospital, Mumbai. She is a skilled surgeon with over 14 years of experience in some of the best hospitals in the Delhi- NCR region including Fortis Hospital, Artemis Hospital, Paras Hospital and Asian Institute of Medical Sciences, CK Birla Hospital. She works with utmost dedication and compassion to deliver international standard and personalized cancer care to the patients.



Breast Cancer Patient’s Journey

The best reference

IS A GOOD WORD

First of all, I would like to thank Dr. Mansi Cowhan for the effort she made to remove a tumor and lymph nodes from the breast of the patient Rawaa Abd Abbas from Iraq, and to follow up on the patient’s condition and gave her the right medical instructions after the operation. Now patient is in a very good health. My advice for all patients who are suffering from breast cancer is to visit Dr Mansi Chowhan she has a very good knowledge and experience in her field .Thank you to Dr Mansi.

Ms. Rawaa Abd Abbas & Mr. Muthanna kareem Alobaidi

Iraq

Dr. Mansi Chowhan, my wife’s breast cancer surgeon, empathized with my wife’s condition. She gave us the technical details in understandable language. She made it clear that the approach was primarily redemptive. She was happy with us when the tests came out favorable. She was sad with us for unfavourable pointers. She was caring throughout the process. We wish that she will bring such care and comfort to many more cancer patients.

Mr. Anup Dominic

Mauritius

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr.Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but Dr. Mansi was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery.

Ms Pratishtha Garg

India

Dr Mansi Chowhan Dr. Mansi is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤

Ms Kritika Tandon

India

Dr Mansi Chowhan is an excellent Breast Cancer specialist we have in NCR, she is just amazing.
She is my wife’s doctor. She is very caring, understanding & listens to the patients.
In as much as she is a Gold Medalist, she is very knowledgeable and gives the best advice for the treatment.
She is very genuine in her dealings. She is a very kind and soft spoken to her patients. And takes special interest in caring for her patients, My wife feels very comfortable meeting her.
We highly recommend her to everyone with the above said problem.

Ms. Laban Rao

India

My mother Mrs Santosh admitted under Dr Mansi Chowhan for procedure .
She is the outstanding doctor with golden heart , attend us guide us at each & every level of investigations.
A very big thanks for her & Mr Ibrahim & whole team for supportive hands given to us to fight against disease .
God bless you all & achieve success in future.
Regards

Mr. Alka Sammi

India

Our gratitude towards Dr Mansi Chowhan, my wife’s treating doctor cannot be expressed in words. She diagnosed my wife’s breast cancer and took great care throughout her journey from biopsy to breast surgery to chemotherapy now. To our great relief, a breast conservation surgery was done. She is exceptionally efficient and compassionate towards her patients. Highly recommended for any breast lump or cancer.

Mr. Dushyant Jasoria

India

Dr Mansi Chowhan is one of the finest, sweetest and humble doctor I have ever met! I think she follows the rule to not overcomit and under deliver. During the period of my mother’s breast cancer consultation, treatment and surgery, she was sometimes upfront for few things, which we as Patient’s family took time to digest. But I really admire and appreciate all the support that Dr. Mansi and team extended during the entire period of pre & post surgery. And the kind of tumor removal + breast conservation surgery that she has done with her magical hands is commendable. I had so many negative thoughts before the surgery, but looking at the result and my mother recovering day by day…I can’t thank her enough for doing such wonders in saving her breast and her life! ❤.

Ms. Kritika Tandon

India

I was diagnosed with DCIS. My gynaecologist Dr.Anjali Kumar whom I have known for 12 years and trust her completely, recommended Dr Mansi Chowhan to me. I am very happy that I took the decision of getting my breast surgery done from Dr Mansi. She is very warm, polite and understands the emotional state of a patient. She explained to me in detail what exactly will be her plan of action. I went for other opinions too but She was the only doctor who didn’t ask for unnecessary tests and procedures like MRI and Biopsy. Luckily, the lump in my breast was benign. I am grateful to her for handling my case so efficiently and would highly recommend her for breast surgery..

Ms. Pratishtha Garg

India

Dr Mansi Chowhan was really a blessing for us. She was so empathetic. I went to her for Sister In Law. She operated her for carotid body tumor. We were really scared but once we met Dr Mansi. we were at ease. She excellently handled the case. She was patient enough to hear all our worries and problems. I am thankful to her for all that she has done.

Ms. Madhurima Goswami

India

Surgery from Dr Mansi was like MAGIC TOUCH …as Dr Mansi not only done the procedure…successfully…but also support the patient mentaly to bear the pain without any stress…commmunication skills were suppperrb…Thanks to Dr Mansi.

Mr. Kaka Bhardwaj

India



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