Management of Early Node-Positive Breast Cancer in Australia: A Multicentre Study

被引：9

作者：

Gannan, Emma ^{[1
,2
,3
]}

Khoo, Jeremy ^{[4
]}

Nightingale, Sophie ^{[5
]}

Suhardja, Thomas Surya ^{[6
]}

Lippey, Jocelyn ^{[7
]}

Keane, Holly ^{[8
]}

Tan, Kian Jin ^{[9
]}

Clouston, David ^{[4
]}

Gorelik, Alexandra ^{[10
]}

Mann, Gregory Bruce ^{[1
,2
,11
]}

机构：

[1] Royal Melbourne Hosp, Breast Serv, Parkville, Vic, Australia

[2] Royal Womens Hosp, Parkville, Vic, Australia

[3] Royal Melbourne Hosp, Dept Surg, Parkville, Vic, Australia

[4] Focus Pathol, East Melbourne, Vic, Australia

[5] Peter MacCallum Canc Ctr, Dept Surg, East Melbourne, Vic, Australia

[6] Monash Med Ctr, Dept Surg, Clayton, Vic, Australia

[7] Austin Hosp, Dept Surg, Heidelberg, Vic, Australia

[8] Alfred Hosp, Dept Surg, Melbourne, Vic, Australia

[9] St Vincents Hosp Melbourne, Dept Surg, Fitzroy, Vic, Australia

[10] Univ Melbourne, Royal Melbourne Hosp, Melbourne EpiCtr, Parkville, Vic, Australia

[11] Univ Melbourne, Dept Surg, Parkville, Vic, Australia

来源：

BREAST JOURNAL | 2016年 / 22卷 / 04期

关键词：

ACOSOG Z0011 trial; axillary lymph node dissection; breast cancer; sentinel lymph node biopsy; SENTINEL-NODE; AXILLARY DISSECTION; AMERICAN-COLLEGE; CLINICAL-PRACTICE; Z0011; TRIAL; BIOPSY; RECURRENCE; SURGEONS; IMPACT; MICROMETASTASES;

D O I：

10.1111/tbj.12595

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

To examine practice patterns for breast cancer patients with limited sentinel node (SN) disease in light of the ACOSOG Z0011 results. Retrospective analysis of patients with T1-2 breast cancer and positive sentinel lymph node biopsy (SLNB) admitted between January 2009 and December 2012. Patient demographics, tumor characteristics, and treatments were recorded. Eight hundred positive SLNBs were identified. A total of 452 (56.5%) proceeded to completion axillary lymph node dissection (cALND). cALND rate decreased from 65.1% to 49.7% from 2009-2010 to 2011-2012. cALND was performed for micrometastasis or isolated tumor cells in 39.3% in 2009-2010 and 22.2% in 2011-2012, whereas for macrometastases the rates were 83.1% and 68.6%, respectively. cALND rates diminished for both Z0011-eligible and -ineligible patients. The ACOSOG Z0011 trial presentation and publication coincided with a reduction in cALND for breast cancer with limited nodal disease. There appears equipoise regarding management of macrometastatic SN disease.

引用

页码：413 / 419

页数：7

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