Sentinel Node Biopsy (cont.)
Who Is Not a Good Candidate for Sentinel Node Biopsy?
Not all women are good candidates for sentinel node biopsy. A woman with any of the following may be a poor candidate for the procedure:
- Lymph nodes that are palpable
(can be felt through the skin) and hard (in this situation a fine needle
aspirate of the lymph node can help determine if it is cancerous or not)
- The only absolute contraindications are
- cancer already identified in the lymph nodes (by FNA) and
- prior mastectomy.
In addition, the following factors are associated with an increased risk of complications involving most surgeries (but none are specific contraindications to sentinel lymph node biopsy):
- Poor general health
- Long-term illness
- Advanced age
- Conditions that affect the blood
- Using certain medications or dietary supplements
Leigh A Neumayer, MD, MS, FACS
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