Sentinel Node Biopsy Alone versus Completion Axillary Node Dissection in Node Positive Breast Cancer: Systematic Review and Meta-Analysis
Identifieur interne : 002539 ( Main/Exploration ); précédent : 002538; suivant : 002540Sentinel Node Biopsy Alone versus Completion Axillary Node Dissection in Node Positive Breast Cancer: Systematic Review and Meta-Analysis
Auteurs : Rachna Ram [Nouvelle-Zélande] ; Jasprit Singh [Fidji] ; Eddie Mccaig [Fidji]Source :
- International Journal of Breast Cancer [ 2090-3170 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/513780
PubMed: 25383226
PubMed Central: 4214001
Affiliations:
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Le document en format XML
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<author><name sortKey="Ram, Rachna" sort="Ram, Rachna" uniqKey="Ram R" first="Rachna" last="Ram">Rachna Ram</name>
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<author><name sortKey="Singh, Jasprit" sort="Singh, Jasprit" uniqKey="Singh J" first="Jasprit" last="Singh">Jasprit Singh</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Fiji National University College of Medicine, Nursing and Health Sciences, Private Mail Bag, Brown Street, Suva, Fiji</nlm:aff>
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<author><name sortKey="Mccaig, Eddie" sort="Mccaig, Eddie" uniqKey="Mccaig E" first="Eddie" last="Mccaig">Eddie Mccaig</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Colonial War Memorial Hospital, Private Mail Bag, Brown Street, Suva, Fiji</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sentinel Node Biopsy Alone versus Completion Axillary Node Dissection in Node Positive Breast Cancer: Systematic Review and Meta-Analysis</title>
<author><name sortKey="Ram, Rachna" sort="Ram, Rachna" uniqKey="Ram R" first="Rachna" last="Ram">Rachna Ram</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Plastic Burns and Maxillofacial Unit, Hutt Valley DHB, Private Bag 31907, Lower Hutt 5010, New Zealand</nlm:aff>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Plastic Burns and Maxillofacial Unit, Hutt Valley DHB, Private Bag 31907, Lower Hutt 5010</wicri:regionArea>
<wicri:noRegion>Lower Hutt 5010</wicri:noRegion>
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<author><name sortKey="Singh, Jasprit" sort="Singh, Jasprit" uniqKey="Singh J" first="Jasprit" last="Singh">Jasprit Singh</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Fiji National University College of Medicine, Nursing and Health Sciences, Private Mail Bag, Brown Street, Suva, Fiji</nlm:aff>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Fiji National University College of Medicine, Nursing and Health Sciences, Private Mail Bag, Brown Street, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
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<author><name sortKey="Mccaig, Eddie" sort="Mccaig, Eddie" uniqKey="Mccaig E" first="Eddie" last="Mccaig">Eddie Mccaig</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Colonial War Memorial Hospital, Private Mail Bag, Brown Street, Suva, Fiji</nlm:aff>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Colonial War Memorial Hospital, Private Mail Bag, Brown Street, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
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<series><title level="j">International Journal of Breast Cancer</title>
<idno type="ISSN">2090-3170</idno>
<idno type="eISSN">2090-3189</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>
. There has been recent interest in validity of completion axillary node dissection after a positive sentinel node. This systematic review aims to ascertain if sentinel lymph node dissection alone was noninferior to axillary lymph node dissection for breast cancer patients who have a positive sentinel node. <italic>Method</italic>
. A systematic review of the electronic databases Embase, MEDLINE, and Cochrane Register of Controlled Trials was carried out. Only randomised trials that had patients with positive sentinel node as the study sample were included in the meta-analysis using the reported hazard ratios with a fixed effect model. <italic>Results</italic>
. Three randomised controlled trials and five retrospective studies were identified. The pooled effect for overall survival was HR 0.94, 95% CI [0.79, 1.19], and for disease free survival was HR 0.83, 95% CI [0.60, 1.14]. The reported rates for locoregional recurrence were similar in both groups. The surgical morbidity was found to be significantly more in patients who had underwent axillary dissection. <italic>Conclusion</italic>
. Amongst patients with micrometastasis in the sentinel node, no further axillary dissection is necessary. For patients with macrometastasis in the sentinel node, it is reasonable to consider omitting axillary dissection to avoid the morbidity of the procedure.</p>
</div>
</front>
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