ArticleGland surgery2026
The no massage approach for single-tracer sentinel lymph node biopsy in breast cancer: a retrospective cohort study comparing identification rate and long-term oncologic outcomes to the traditional massage technique.
Article in Gland surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Background: Sentinel lymph node biopsy (SLNB) in breast cancer is traditionally performed with breast massage to improve node detection. However, with the widespread use of wire localization in breast conserving surgery (BCS), breast massage is often avoided to prevent wire displacement. This study aimed to evaluate the efficacy and oncologic safety of SLNB using blue dye without massage. Methods: We retrospectively analyzed primary operable breast cancer patients who received SLNB using isosulfan blue dye with or without breast massage from January 2008 to December 2021 at a tertiary center in Bangkok, Thailand. The rates of sentinel lymph node (SLN) identification and oncological results were compared between the no massage and massage groups. Results: Among 458 patients, 199 (43.4%) were in the no massage group and 259 (56.6%) in the massage group. The SLN identification rates were similar (98.5% Conclusions: The no massage approach for SLNB in breast cancer shows comparable SLN identification and survival outcomes compared to the traditional massage procedure.
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