Axillary lymph node management in breast cancer with positive sentinel lymph node biopsy

被引：13

作者：

Voutsadakis, Ioannis A. ^{[1
,2
]}

Spadafora, Silvana ^{[1
,2
]}

机构：

[1] Sault Area Hosp, Dept Internal Med, Div Med Oncol, 750 Great Northern Rd, Sault Ste Marie, ON P6B 0A8, Canada

[2] Northern Ontario Sch Med, Div Clin Sci, Sudbury, ON P0M, Canada

来源：

WORLD JOURNAL OF CLINICAL ONCOLOGY | 2015年 / 6卷 / 01期

关键词：

Tumor sub-types; Micro-metastatic; Node positive; Breast cancer; Axillary lymph node dissection; Macro-metastatic; Axillary recurrence;

D O I：

10.5306/wjco.v6.i1.1

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The surgical treatment of localized breast cancer has become progressively less aggressive over the years. The management of the axillary lymph nodes has been modified by the introduction of sentinel lymph node biopsy. Axillary dissection can be avoided in patients with sentinel lymph node negative biopsies. Based on randomized trials data, it has been proposed that no lymph node dissection should be carried out even in certain patients with sentinel lymph node positive biopsies. This commentary discusses the basis of such recommendations and cautions against a general omission of lymph node dissection in breast cancer patients with positive sentinel lymph node biopsies. Instead, an individualized approach based on axillary tumor burden and biology of the cancer should be considered.

引用

页码：1 / 6

页数：6

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