EFFICACY OF LYMPH NODE GROSSING BY ONCO SURGEON IN AXILLARY DISSECTION SPECIMEN

Dr.P.Muniasamy; Dr.A.Joseph Stalin Antony Muthu

Volume : VIII, Issue : V, May - 2019

EFFICACY OF LYMPH NODE GROSSING BY ONCO SURGEON IN AXILLARY DISSECTION SPECIMEN

Dr. P. Muniasamy, Dr. A. Joseph Stalin Antony Muthu

Abstract :

Background : Nodal grossing was routinely done by pathologist.This study was done to assess the efficacy of nodal grossing done in unfixed specimen by surgeon following axillary dissection in carcinoma east. Methodology : After completion of axillary dissection done for carcinoma east the unfixed specimen was grossed by the surgeon with in a period of one hour. Grossed lymph nodes were categorised into significant nodes and insignificant nodes .Total number of nodes grossed and nodal positivity was compared between study group and control group.Number of additional nodes grossed from residual fio fatty tissues and their nodal positivity were analysed.In addition,nodal positivity among significant nodes was analysed. Results : In axillary dissection done for carcinoma east the mean number of nodes grossed by surgeon and nodal positivity had increased though it was not statistically significant. The specificity and negative predictive value of significant nodes was high. Total of nodes number grossed from residual fiofatty tissue was negligible. Conclusion : Grossing of node by surgeon can improve the accuracy of staging which in turn improves prognostication and choice of adjuvant therapy.Grossing of fiofatty tissue can be avoided.