The team at Birmingham Breast Group (BBG) comprises highly skilled surgeons specialising in breast oncology, backed by extensive experience and training in sentinel node biopsy (SNB). We possess advanced knowledge of breast anatomy, lymphatic mapping techniques, and intraoperative assessment methods, ensuring precise identification and examination of sentinel nodes. Our expertise in SNB enables accurate staging of breast cancer and facilitates tailored treatment strategies, reflecting BBG’s commitment to delivering high-quality, evidence-based care to patients undergoing this pivotal procedure.
Treatments - Breast Surgery
Sentinel Node Biopsy
In the landscape of breast cancer treatment, precision and efficacy are paramount. Sentinel node biopsy (SNB) stands as a pivotal technique, revolutionising how clinicians assess and manage the spread of breast cancer. From its inception to its integration into comprehensive care frameworks like the Birmingham Breast Group (BBG), SNB exemplifies the evolution towards personalised, minimally invasive, and patient-centric treatment strategies.
At a Glance
Treatment time:
30 Minutes
Anaesthetic:
General Anaesthetic
Return to work:
Up to 1 week
Duration:
Case Dependent
Final results:
Breast Cancer Management
About This Treatment
Sentinel node biopsy is a surgical procedure designed to identify and examine the sentinel lymph nodes – the first lymph nodes to which cancer cells are likely to spread from a primary tumour.
This technique helps clinicians determine the extent of cancer spread, aiding in staging and treatment decision-making. SNB has largely replaced axillary lymph node dissection (ALND), a more invasive procedure associated with higher risks of complications such as lymphedema and nerve damage.
Prior to undergoing sentinel node biopsy, patients typically undergo imaging studies and may receive a lymphatic mapping agent to help identify the sentinel nodes. During the procedure, our surgeon locates and removes one or a few sentinel nodes for examination. These nodes are then analysed for the presence of cancer cells using techniques like intraoperative frozen section analysis or subsequent histopathological examination.
Sentinel node biopsy offers several advantages for patients with breast cancer. Firstly, it provides accurate staging information, allowing clinicians to tailor treatment plans based on the extent of lymph node involvement. By selectively targeting only the sentinel nodes, SNB minimises the risk of complications associated with more extensive lymph node surgeries, such as lymphedema and shoulder dysfunction. Additionally, the less invasive nature of SNB results in reduced postoperative pain, shorter hospital stays, and faster recovery times compared to ALND.
There is the option of using a dual method that relies on colour (blue dye) and radioactivity (radioactive isotope Te99). Use of the blue is associated with the risk of an allergic reaction which can be significant in certain individuals. We can consider the use of alternative agents such as Magtrace© and Indocyanine Green.
The primary goal of sentinel node biopsy is to accurately stage breast cancer while minimising morbidity and preserving quality of life for patients. Studies have demonstrated the reliability and accuracy of SNB in identifying nodal metastases, with high rates of sensitivity and negative predictive value. Furthermore, the avoidance of unnecessary axillary dissections in patients with negative sentinel nodes reduces the risk of complications without compromising oncologic outcomes.
The Birmingham Breast Group (BBG) is renowned for its commitment to excellence in breast cancer care, incorporating cutting-edge techniques like sentinel node biopsy into its comprehensive treatment approach. The integration of SNB into BBG’s care framework reflects its dedication to offering patients like you the most advanced and personalised treatment options available.
At BBG, sentinel node biopsy is performed by a multidisciplinary team of breast surgeons, oncologists, radiologists, and pathologists, ensuring a coordinated and comprehensive approach to patient care. This collaborative effort ensures that patients receive individualised treatment plans tailored to their unique needs and preferences.
Central to BBG’s philosophy is a patient-centred approach that prioritises informed decision-making and shared decision-making. When undergoing sentinel node biopsy at BBG you are actively involved in the treatment process, with ample opportunities to discuss treatment options, ask questions, and express concerns. This open dialogue fosters trust and empowers you to make well-informed decisions about your care.
BBG remains at the forefront of breast cancer research, participating in clinical trials and contributing to advancements in the field. Through ongoing research initiatives, BBG continuously seeks to improve patient outcomes and refine treatment protocols, ensuring you receive the best possible care.
Sentinel node biopsy represents a cornerstone in the management of breast cancer, offering precise staging information and minimising morbidity for patients like you. Its integration into comprehensive care frameworks underscores BBG’s commitment to excellence and innovation in breast cancer care. By leveraging multidisciplinary expertise and a patient-centred approach, BBG continues to set the standard for high-quality breast cancer care, ensuring optimal outcomes at every step of your journey.
Frequently Asked Questions
Sentinel node biopsy (SNB) may be recommended for patients diagnosed with early-stage breast cancer, especially those with clinically negative lymph nodes. Additionally, individuals with larger tumours or aggressive cancer subtypes may benefit from SNB to assess lymph node involvement and inform treatment decisions. SNB is also indicated for patients undergoing breast-conserving surgery or mastectomy to accurately stage the disease and guide adjuvant therapy. Furthermore, individuals with ductal carcinoma in situ (DCIS) undergoing mastectomy may undergo SNB to rule out invasive disease. Multidisciplinary evaluation determines candidacy for SNB, ensuring appropriate utilisation and optimal management of breast cancer.
Common side effects following sentinel node biopsy (SNB) include temporary discomfort, swelling (seroma – fluid collection), and bruising at the biopsy site. Some patients may experience numbness or tingling in the arm, particularly if the lymphatic drainage is disrupted. In uncommon cases, infection or bleeding may occur. Additionally, there’s a small risk of lymphedema, though significantly lower compared to axillary lymph node dissection. Most side effects resolve within a few weeks post-procedure, and patients are typically able to resume normal activities relatively quickly with proper postoperative care and monitoring.
Following sentinel node biopsy (SNB), downtime varies but is typically minimal. Patients can often resume sedentary work within a few days to a week post-procedure. Light exercise, such as walking, is generally permitted shortly after, with more strenuous activities gradually reintroduced over the following weeks. Driving is typically allowed once patients are off pain medications and can comfortably move their arms, usually within a few days to a week. However, individual recovery may vary, and it’s essential to follow postoperative instructions provided by our healthcare team for optimal healing and a safe return to normal activities.
How much does Sentinel Node Biopsy cost at Birmingham Breast Group?
As each case is unique, the cost of treatment at BBG may vary depending on individual factors. We tailor our approach to meet your specific needs, ensuring that you receive personalised care and comprehensive support throughout your journey.
Initial consultation
please enquire
All consultations are conducted in strict privacy and all information is confidential.
Surgery costs from
based on consultation
Each procedure has its own personalised treatment plan that is meticulously tailored to meet your unique needs and goals. Healthcare Insurance may be accepted.
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Our Specialist Team
Meet the dedicated professionals at Birmingham Breast Group – committed to excellence, compassion, and personalised care for every patient.
BSc, MBBS, MSc, MRCS (Ed), FRCS (Eng), MD, FEBS
Naren Basu
Lead Consultant Oncoplastic Breast Surgeon
BSc, BM, MRCP, FRCR, MD
Daniel Henderson
Consultant Clinical Oncologist
MBChB, PhD, FRCS (Eng)
Ms Salena Bains
Consultant Oncoplastic Breast Surgeon
Consultant Clinical oncologist
Dr James Good
PhD, FRCR
BSc, PhD, FRCP
Professor Daniel Rea
Professor of Medical Oncology
MRCP, FRCR
Dr Sara Meade
Consultant Clinical Oncologist
BSc, MBBS, MRCS, FRCR
Dr Faisal Majid
Consultant Radiologist
MSc, PhD, FRCPath
Dr Abeer Shaaban
Path Consultant Pathologist
Bsc, MBBS, MD (Pathology) FRCPath
Dr Rachna Awasthi
Path Consultant Pathologist
Dawn Larkin
Breast Care Specialist Nurse
Ruth Tracey
Macmillan Breast Health Care Assistant
Dr Nadia Alishah
Job Title Here
Qualifications Here
Gill Farrington
Breast Care Specialist Nurse
Written by a patient at BMI The Priory Hospital, 17th August 2020
Mr Henderson was kind and understanding and I felt completely at ease with him. He was well informed of my condition and explained his treatment plan to me fully. He has been very attentive in answering emails from me and I really cannot recommend him highly enough. I feel very fortunate to have been in his care.
Written by a patient at BMI The Priory Hospital, 17th August 2020
Mr Henderson was kind and understanding and I felt completely at ease with him. He was well informed of my condition and explained his treatment plan to me fully. He has been very attentive in answering emails from me and I really cannot recommend him highly enough. I feel very fortunate to have been in his care.
Written by a patient at Spire Little Aston Hospital, 1st December 2019
I have been a patient of Dr Basu since being diagnosed with Breast Cancer a few months ago. Despite the curse of my diagnosis I couldn’t have asked for a better Dr and standard of care. He and his team are super-efficient, have gone out of their way to get fast effective treatment for me and he has super-human levels of patience. During every consultation he has been ever patient, carefully listened to all my questions and concerns then taken the time to explain everything to me and provided constant reassurance. He has been accessible at all times even over weekends and the support has been broad. He looks after you as if you are family and despite having a 90 minute journey to see him at times as we wanted the fastest appointment we couldn’t ask for anything more. Our family see him as an angel not just a doctor for what he has done for us and would recommend him in less than a blink of a eye.
Written by a patient at Queen Elizabeth Hospital, 30th September 2019
I first met Naren Basu in 2016 at the Queen Elizabeth Women’s Hospital. I had been diagnosed with breast cancer. He is an exceptionally skilled man at putting people at their ease and explaining everything with great patience and candour. He is a consummate professional and really knows his stuff, especially relating to breast cancer. He is very clever, witty, and a super surgeon. He carried out a reduction to both my breasts, removing the tumours at the same time. I was fortunate indeed to have my surgery via the NHS, it would have been very expensive as a private patient but worth every penny. I felt like a million dollars after my operation. I think he is a fabulous man and so skilled on so many levels and outstanding in human kindness.
Written by a carer at Spire Little Aston Hospital, 12th June 2019
Nine days before I was due to go on an extended holiday I discovered problems in both breasts. I was lucky enough to get an appointment 3 days before travel. Mr Basu even called me on the day of the appointment to ask me to come in earlier to ensure they had time to undergo all of the tests that evening. Anyone who has had these problems will know how overwhelming it is but Mr Basu took his time to speak to me and explained all of the procedures/tests that would be carried out that evening and possible outcomes. I did have a small procedure and again everything was explained fully and felt quite safe in his hands. The follow up appointments were just as thorough and Mr Basu made sure I understood all that we discussed. If I ever found myself in this position again Mr Basu would be my first port of call.
Written by a carer at Spire Little Aston Hospital, 11th May 2020
I was diagnosed with HER2 positive breast cancer November 8th 2019 , I was then appointed Dr Henderson almost immediately to discuss my treatment plan and way forward, I must say Dr Henderson was absolutely fantastic, he has a real calming nature and really put myself and my husband at ease , plotting my treatment course from day 1 gave us a massive line of sight to work to and in with combination of the nurses at little Aston facing the biggest fight of my life became easier & easier as the week progressed, I owe Dr Henderson my life and can’t thank him enough, he’s worth is weight in gold
Written by a patient at Good Hope Hospital, 27th November 2019
I am currently under the care of Dr Daniel Henderson at Good Hope Hospital, and I couldn’t ask for better. He listens, and speaks to you in laymans terms so you understand what is going on now and in the future. He talks to you and not at you, and has a very calm and soothing manner. If you are lucky enough to be referred to him, rest assured that you are in good hands, as he gets things actioned quickly.
Written by a patient at Spire Little Aston Hospital, 1st December 2019
I have been a patient of Dr Basu since being diagnosed with Breast Cancer a few months ago. Despite the curse of my diagnosis I couldn’t have asked for a better Dr and standard of care. He and his team are super-efficient, have gone out of their way to get fast effective treatment for me and he has super-human levels of patience. During every consultation he has been ever patient, carefully listened to all my questions and concerns then taken the time to explain everything to me and provided constant reassurance. He has been accessible at all times even over weekends and the support has been broad. He looks after you as if you are family and despite having a 90 minute journey to see him at times as we wanted the fastest appointment we couldn’t ask for anything more. Our family see him as an angel not just a doctor for what he has done for us and would recommend him in less than a blink of a eye.
Written by a patient at Queen Elizabeth Hospital, 30th September 2019
I first met Naren Basu in 2016 at the Queen Elizabeth Women’s Hospital. I had been diagnosed with breast cancer. He is an exceptionally skilled man at putting people at their ease and explaining everything with great patience and candour. He is a consummate professional and really knows his stuff, especially relating to breast cancer. He is very clever, witty, and a super surgeon. He carried out a reduction to both my breasts, removing the tumours at the same time. I was fortunate indeed to have my surgery via the NHS, it would have been very expensive as a private patient but worth every penny. I felt like a million dollars after my operation. I think he is a fabulous man and so skilled on so many levels and outstanding in human kindness.
Written by a carer at Spire Little Aston Hospital, 12th June 2019
Nine days before I was due to go on an extended holiday I discovered problems in both breasts. I was lucky enough to get an appointment 3 days before travel. Mr Basu even called me on the day of the appointment to ask me to come in earlier to ensure they had time to undergo all of the tests that evening. Anyone who has had these problems will know how overwhelming it is but Mr Basu took his time to speak to me and explained all of the procedures/tests that would be carried out that evening and possible outcomes. I did have a small procedure and again everything was explained fully and felt quite safe in his hands. The follow up appointments were just as thorough and Mr Basu made sure I understood all that we discussed. If I ever found myself in this position again Mr Basu would be my first port of call.
Written by a carer at Spire Little Aston Hospital, 11th May 2020
I was diagnosed with HER2 positive breast cancer November 8th 2019 , I was then appointed Dr Henderson almost immediately to discuss my treatment plan and way forward, I must say Dr Henderson was absolutely fantastic, he has a real calming nature and really put myself and my husband at ease , plotting my treatment course from day 1 gave us a massive line of sight to work to and in with combination of the nurses at little Aston facing the biggest fight of my life became easier & easier as the week progressed, I owe Dr Henderson my life and can’t thank him enough, he’s worth is weight in gold
Written by a patient at Good Hope Hospital, 27th November 2019
I am currently under the care of Dr Daniel Henderson at Good Hope Hospital, and I couldn’t ask for better. He listens, and speaks to you in laymans terms so you understand what is going on now and in the future. He talks to you and not at you, and has a very calm and soothing manner. If you are lucky enough to be referred to him, rest assured that you are in good hands, as he gets things actioned quickly.
Written by a patient at BMI The Priory Hospital, 17th August 2020
Mr Henderson was kind and understanding and I felt completely at ease with him. He was well informed of my condition and explained his treatment plan to me fully. He has been very attentive in answering emails from me and I really cannot recommend him highly enough. I feel very fortunate to have been in his care.
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