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. 2008 Sep 24;8:17. doi: 10.1186/1471-2482-8-17

Table 7.

Tabulated summary of the specific analyses of failed or false negative analysis where such has been explicitly contained within the publication.

Authors Year Comment
Bendavid [56] 2002 The one false negative case occurred in a patient with liver metastases.
Also 'evidently metastatic nodes' did not receive colourant
Paramo [57] 2002 No specific analysis presented.
Wood [58] 2002 All five false negatives occurred in T3 or T4 tumors (in one case the only positive non-sentinel node was involved by direct extension). Three occurred in 1st 30 cases
Bilchik [59] 2002 All five false negatives occurred in T3 or T4 tumors. Three occurred in the first fifty cases.
Kitagawa [60] 2002 Four false negative cases were advanced T3 and/or had massive lymph node metastases
Feig [61] 2002 Also 'several patients' (of ten) classified as false negative had 'palpable lymph nodes'
Broderick-Villa [62] 2002 Learning curve strongly associated with false negative rate (67% in first half, 32% in second half). No significant association with T-stage, LN involvement or tumor diameter > or < 4 cm
Veihl [70] 2003 Amount of dye relative to tumor size was an important predictor of identification of node. False negative more common in cases with larger nodes (4.5 cm v 3.4 cm, p = 0.09)
Bilchik [83] 2006 Of the six false negatives, four were attributable to tumor obliteration of the lymphatic channels
Saha [85] 2006 95% of patients with skip metastases were T3 or T4
Thomas [87] 2006 Two patients with liver metastases along with two others with gross mesenteric disease had false positive sentinel nodes. No relationship between BMI and disease

Kelder [89] 2006 In one of the two false negatives, the non-SLNs were involved by extra-nodal tumor invasion
Bembenek [92] 2007 Significant association with learning curve/center experience, BMI (cut-off level being 22 patients and a BMI of 25 respectively) & LVI. No significant association between detection and T stage, age, sex, vascular invasion, no of nodes, total no of nodes.
Sandrucci [93] 2007 'Skip metastases' were all correlated with 'T2 lesions with massive lymphatic involvement'
Tiffet [94] 2007 Three of 12 false negatives were in patients with direct tumor involvement of adjacent non-sentinel epicolic nodes while four were in N2 patients. False negative rate markedly lower in the subgroup with T1 and T2 tumors only. and in those with BMI < 30 kg/m2