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Annals of Surgical Oncology 8:380 (2001)
© 2001 Society of Surgical Oncology

LETTER TO THE EDITOR

Sentinel Lymph Node Micrometastases in DCIS

Prasad Rao Koduri, MD

Department of Medicine, Cook County Hospital, Chicago, Illinois.

To the Editor

Klauber-DeMore et al.1 report a 12% incidence of sentinel lymph node (SLN) micrometastases in selected patients with DCIS. The clinical significance of this finding is unknown. What is known, however, is that total (simple) mastectomy is associated with a cure rate of nearly 100% for all types of ductal carcinoma in situ (DCIS).2 The recommendation for performing routine "completion axillary dissection" in patients with DCIS found to have SLN micrometastases, as suggested by Klauber-DeMore et al., is thus open to question.

REFERENCES

  1. Klauber-DeMore N, Tan LK, Liberman L, et al. Sentinel lymph node biopsy: Is it indicated in patients with high-risk ductal carcinoma-in-situ and ductal carcinoma-in-situ with microinvasion? Ann Surg Oncol 2000; 7: 636–42.[Abstract]
  2. Morrow M, Schnitt SJ, Harris JR. In situ carcinomas. In: Harris JR, Lippman ME, Morrow M, Hellman S, eds. Diseases of the Breast. Philadelphia: Lippincott-Raven Press, 1996: 355–368.



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