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

被引：0

作者：

Ioannis A Voutsadakis ^{[1
,2
]}

Silvana Spadafora ^{[1
,2
]}

机构：

[1] Division of Medical Oncology, Department of Internal Medicine, Sault Area Hospital, Sault Ste. Marie, Ontario ON P6B 0A8, Canada

[2] Division of Clinical Sciences, Northern Ontario School of Medicine, Sudbury, Ontario ON P0M, Canada

来源：

World Journal of Clinical Oncology | 2015年 / 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：

暂无

中图分类号：

R737.9 [乳腺肿瘤];

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

共 10 条

[1]

Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis[J] . Tracey DiSipio,Sheree Rye,Beth Newman,Sandi Hayes. Lancet Oncology . 2013 (6)

[2]

Axillary dissection versus no axillary dissection in patients with sentinel-node micrometastases (IBCSG 23–01): a phase 3 randomised controlled trial[J] . Viviana Galimberti,Bernard F Cole,Stefano Zurrida,Giuseppe Viale,Alberto Luini,Paolo Veronesi,Paola Baratella,Camelia Chifu,Manuela Sargenti,Mattia Intra,Oreste Gentilini,Mauro G Mastropasqua,Giovanni Mazzarol,Samuele Massarut,Jean-Rémi Garbay,Janez Zgajnar,Hanne Galatius,Angelo Recalcati,David Littlejohn,Monika Bamert,Marco Colleoni,Kar

[3] Insight into the heterogeneity of breast cancer through next-generation sequencing [J].

Russnes, Hege G. ;

Navin, Nicholas ;

Hicks, James ;

Borresen-Dale, Anne-Lise .

JOURNAL OF CLINICAL INVESTIGATION, 2011, 121 (10) :3810-3818

[4] Phase III randomized equivalence trial of early breast cancer treatments with or without axillary clearance in post-menopausal patients results after 5 years of follow-up [J].

Avril, A. ;

Le Bouedec, G. ;

Lorimier, G. ;

Classe, J. M. ;

Tunon-de-Lara, C. ;

Giard, S. ;

MacGrogan, G. ;

Debled, M. ;

Mathoulin-Pelissier, S. ;

Mauriac, L. .

EJSO, 2011, 37 (07) :563-570

[5] Locoregional Recurrence After Sentinel Lymph Node Dissection With or Without Axillary Dissection in Patients With Sentinel Lymph Node Metastases [J].

Giuliano, Armando E. ;

McCall, Linda ;

Beitsch, Peter ;

Whitworth, Pat W. ;

Blumencranz, Peter ;

Leitch, A. Marilyn ;

Saha, Sukamal ;

Hunt, Kelly K. ;

Morrow, Monica ;

Ballman, Karla .

ANNALS OF SURGERY, 2010, 252 (03) :426-433

[6]

Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial[J] . David N Krag,Stewart J Anderson,Thomas B Julian,Ann M Brown,Seth P Harlow,Joseph P Costantino,Takamaru Ashikaga,Donald L Weaver,Eleftherios P Mamounas,Lynne M Jalovec,Thomas G Frazier,R Dirk Noyes,André Robidoux,Hugh MC Scarth,Norman Wolmark. Lancet Oncology . 2010

[7] The incidence of arm edema in women with breast cancer randomized on the national surgical adjuvant breast and bowel project study B-04 to radical mastectomy versus total mastectomy and radiotherapy versus total mastectomy alone [J].

Deutsch, Melvin ;

Land, Stephanie ;

Begovic, Mirsada ;

Sharif, Saima .

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2008, 70 (04) :1020-1024

[8]

A Randomized Trial Comparing Axillary Dissection to No Axillary Dissection in Older Patients With T1N0 Breast Cancer: Results After 5 Years of Follow-up[J] . Gabriele Martelli,Patrizia Boracchi,Michaela De Palo,Silvana Pilotti,Saro Oriana,Roberto Zucali,Maria Grazia Daidone,Giuseppe De Palo. Annals of Surgery . 2005 (1)

[9] Meta-analysis of non-sentinel node metastases associated with micrometastatic sentinel nodes in breast cancer [J].

Cserni, G ;

Gregori, D ;

Merletti, F ;

Sapino, A ;

Mano, MP ;

Ponti, A ;

Sandrucci, S ;

Baltás, B ;

Bussolati, G .

BRITISH JOURNAL OF SURGERY, 2004, 91 (10) :1245-1252

[10]

Wide metastatic spreading in infiltrating lobular carcinoma of the breast[J] . S Ferlicot,A Vincent-Salomon,J Médioni,P Genin,C Rosty,B Sigal-Zafrani,P Fréneaux,M Jouve,J.-P Thiery,X Sastre-Garau. European Journal of Cancer . 2003 (3)

← 1 →