TABLE 2.
Characteristics of Studies Involving the Combination Procedure Without Routine ALND
| Author | Sample Size* | Pre-NST Marking at Time of FNA/CNB | Pre-NST Marking After FNA/CNB | Post-NST Marking | Sampling SLNB | IFR†, % | ML is SLN, % | Confirmation Removal ML | Lymph Nodes‡, Median (Range) | ALND, % | Ax-pCR, % |
| Dashevsky | 21 | Clip | NA | Wire | Tc + blue | 100.0 | NR | XR | NR | 0.0 | 33.3 |
| Diego | 29 | Clip | NA | Iodine seed | Tc + blue | 100.0 | 91.0 | XR | 4 (1–11) | 23.3 | 63.0 |
| Kim | 11 | Clip | NA | Wire | Tc + blue | 100.0 | NR | XR/palpation | NR | 45.5 | 36.4 |
| Nguyen | 20 | NA | Clip | Iodine seed | Tc and/or blue | 100.0 | NR | XR | NR | NR | NR |
| Park | 20 | NA | Charcoal | NA | Tc and/or blue | 100.0 | 75.0 | NA | 3 (1–12) | 60.0 | 50.0 |
| Plecha | 19 | Clip | NA | Wire | Tc ± blue | 100.0 | 100.0 | XR/PA | 5.7 (mean) | NR | NR |
| Simons (data submitted) | 139 | NA | Clip/Iodine Seed | Iodine seed/wire | Tc and/or blue | 99.3 | 64.6 | XR/PA | 2 (1–9) | 22.3 | 36.0 |
| Taback | 19 | Clip (78.9%) | Electromagnetic Reflector | NA | Tc + blue | 100.0 | 63.2 | XR | 4 (2–10) | 31.6 | 31.6 |
NA indicates not applicable; NR, not reported (a pathologic assessment); Tc, technetium; XR, specimen radiography.
*Patients who underwent successful ML in combination with SLNB.
†IFR refers to proportion of patients in whom at least 1 lymph node could be identified with the combination procedure.
‡Number of lymph nodes of the combination procedure and not the number of lymph nodes of either ML or either SLNB.