Oncology Certified Nurse (OCN) Nursing Practice Test 2025 - Free OCN Practice Questions and Study Guide

Question: 1 / 585

What does sentinel lymph node dissection involve?

Removal of cancerous tissues

Removal of all lymph nodes in the area

Removal of the first lymph node containing cancer cells

Sentinel lymph node dissection is a surgical procedure that specifically targets the first lymph node or nodes that receive lymphatic drainage from a tumor site. This is important in cancer treatment because these sentinel nodes are often the first place that cancer cells spread from the primary tumor. By identifying and removing these nodes, healthcare providers can assess the extent of the cancer's spread (if cancer cells are present in these nodes) while minimizing the surgical impact on surrounding tissue.

This procedure allows for a more focused treatment approach, as it helps determine whether the cancer has metastasized, which can influence the patient’s treatment plan. If cancer cells are found in the sentinel lymph nodes, further treatments or more extensive surgery may be necessary, whereas if they are clear, more aggressive interventions may be avoided.

In contrast, the other options involve broader or different surgical approaches that do not specifically target the sentinel lymph nodes, thereby negating the precise and strategic purpose of sentinel lymph node dissection in oncology. Removing all lymph nodes in the area would be excessive and can lead to increased complications, while removing surrounding tissue alone does not adequately address the initial analysis of lymphatic spread.

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Removal of surrounding tissue only

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