No more axillary dissection in patients with ductal intraepithelial neoplasia (DIN)

被引:10
作者
Farante, Gabriel [1 ]
Galimberti, Viviana [1 ]
Zurrida, Stefano [1 ,2 ]
Veronesi, Paolo [1 ,2 ]
Luini, Alberto [1 ]
Veronesi, Umberto
机构
[1] European Inst Oncol, Div Senol, I-20141 Milan, Italy
[2] Univ Milan, Sch Med, Milan, Italy
关键词
Breast cancer; Axillary dissection; Ductal intraepithelial neoplasia; CARCINOMA-IN-SITU; POSITIVE SENTINEL NODE; BREAST-CANCER; INVASIVE DISEASE; LYMPH-NODES; CORE BIOPSY; RISK; MASTECTOMY; DIAGNOSIS; DCIS;
D O I
10.1016/j.ejca.2009.12.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Although it has been shown that axillary dissection (AD) is unnecessary and without a rational basis in patients with pure ductal intraepithelial neoplasia (DIN), it is evident from the literature that AD (i.e., in the USA and in the UK) has been still recently performed, Furthermore sentinel lymph node biopsy (SLNB) is not usually required in all cases of DIN, but may be indicated in certain specific cases. Even if the SLNB is positive, AD should not be performed immediately but only in cases where an invasive component is found on definitive pathological examination of the DIN lesions. (C) 2009 Published by Elsevier Ltd.
引用
收藏
页码:476 / 478
页数:3
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