Research Article

Evaluation of Axillary Lymph Node Marking with Magseed® before and after Neoadjuvant Systemic Therapy in Breast Cancer Patients: MAGNET Study

Table 2

Lymph node marking with Magseed®.

Overall (%)Patients (Post-NAST) (%)Patients (Pre-NAST) (%)

Identification and retrieval of Magseed® marked nodes
 Patients (n)813744
 No0 (0)0 (0)0 (0)
 Yes81 (100.0)37 (100.0)44 (100.0)
Concordance between SLN and MLN
 No15 (18.5)5 (13.5)10 (22.7)
 Yes66 (81.5)32 (86.5)34 (77.3)
Nodes retrieved per patient in TAD
 Mean (SD)1.5 (1.2)1.5 (1.1)1.5 (1.3)
 95% CI(1.3; 1.8)(1.2; 1.9)(1.2; 1.9)
 Median (min; max)1.0 (1.0; 8.0)1.0 (1.0; 6.0)1.0 (1.0; 8.0)
 P25; P751.0; 1.01.0; 2.01.0; 1.0
 Total SLNs retrieved (n)20098102
 Total MLNs retrieved (n)984553
Metastasis in MLN
 No37 (45.7)20 (54.1)17 (38.6)
 Yes44 (54.3)17 (45.9)27 (61.4)
Metastasis in SLN
 No42 (51.9)21 (56.8)21 (47.7)
 Yes39 (48.1)16 (43.2)23 (52.3)
Metastasis in ALND (in non-SLNs or non-MLNs)
 Patients (n)753144
 No54 (72)24 (77.4)30 (68.2)
 Yes21 (28)7 (22.6)14 (31.8)
Nodes retrieved per patient in ALND
 Mean (SD)10.1 (4.6)9.9 (5.0)10.3 (4.3)
 95% CI(9.0; 11.3)(8.0; 11.8)(8.9; 11.7)
 Median (min; max)10.0 (1.0; 26.0)10.0 (1.0; 26.0)10.0 (2.0; 24.0)
 P25; P758.0; 12.06.5; 12.08.0; 11.0
Total nodes retrieved in ALND (n)638268370

ALND, axillary lymph node dissection; MLN, marked lymph node; NAST, neoadjuvant systemic therapy; SLN, sentinel lymph node; SLNB, sentinel lymph node biopsy; TAD, targeted axillary dissection.