Conservative axillary surgery in breast cancer patients undergoing mastectomy: long-term results.
Identifieur interne : 002C14 ( Main/Exploration ); précédent : 002C13; suivant : 002C15Conservative axillary surgery in breast cancer patients undergoing mastectomy: long-term results.
Auteurs : Michael S. Cowher [États-Unis] ; Stephen R. Grobmyer [États-Unis] ; Joanne Lyons [États-Unis] ; Colin O'Rourke [États-Unis] ; Deborah Baynes [États-Unis] ; Joseph P. Crowe [États-Unis]Source :
- Journal of the American College of Surgeons [ 1879-1190 ] ; 2014.
Descripteurs français
- KwdFr :
- Aisselle, Analyse de survie, Biopsie de noeud lymphatique sentinelle, Complications postopératoires (épidémiologie), Femelle, Humains, Lymphadénectomie (), Lymphoedème (épidémiologie), Lymphoedème (étiologie), Mastectomie, Modèles logistiques, Métastase lymphatique, Récidive tumorale locale (), Récidive tumorale locale (épidémiologie), Résultat thérapeutique, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (mortalité), Études de suivi, Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- mortalité : Tumeurs du sein.
- épidémiologie : Complications postopératoires, Lymphoedème, Récidive tumorale locale.
- étiologie : Lymphoedème.
- Aisselle, Analyse de survie, Biopsie de noeud lymphatique sentinelle, Femelle, Humains, Lymphadénectomie, Mastectomie, Modèles logistiques, Métastase lymphatique, Récidive tumorale locale, Résultat thérapeutique, Tumeurs du sein, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Axilla, Breast Neoplasms (mortality), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Logistic Models, Lymph Node Excision (methods), Lymphatic Metastasis, Lymphedema (epidemiology), Lymphedema (etiology), Mastectomy, Neoplasm Recurrence, Local (epidemiology), Neoplasm Recurrence, Local (prevention & control), Postoperative Complications (epidemiology), Retrospective Studies, Sentinel Lymph Node Biopsy, Survival Analysis, Treatment Outcome.
- MESH :
- epidemiology : Lymphedema, Neoplasm Recurrence, Local, Postoperative Complications.
- etiology : Lymphedema.
- methods : Lymph Node Excision.
- mortality : Breast Neoplasms.
- pathology : Breast Neoplasms.
- prevention & control : Neoplasm Recurrence, Local.
- surgery : Breast Neoplasms.
- Axilla, Female, Follow-Up Studies, Humans, Logistic Models, Lymphatic Metastasis, Mastectomy, Retrospective Studies, Sentinel Lymph Node Biopsy, Survival Analysis, Treatment Outcome.
Abstract
Recently, the American College of Surgeons Oncology Group Z0011 trial demonstrated that axillary lymph node dissection (ALND) could be safely avoided in selected breast cancer patients with limited nodal disease and having breast conservation therapy. However, for node positive (N+) mastectomy patients, full ALND remains the standard of care. Hypothesizing that omission of complete ALND is safe in many N+ breast cancer patients, a hybrid procedure called conservative axillary regional excision (CARE) was developed, consisting of removal of sentinel nodes and other palpable nodes (without intraoperative frozen section or reoperation for N+).
DOI: 10.1016/j.jamcollsurg.2013.12.041
PubMed: 24655877
Affiliations:
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Cowher</name><affiliation wicri:level="2"><nlm:affiliation>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH. Electronic address: cowherm@ccf.org.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Grobmyer, Stephen R" sort="Grobmyer, Stephen R" uniqKey="Grobmyer S" first="Stephen R" last="Grobmyer">Stephen R. Grobmyer</name><affiliation wicri:level="2"><nlm:affiliation>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Lyons, Joanne" sort="Lyons, Joanne" uniqKey="Lyons J" first="Joanne" last="Lyons">Joanne Lyons</name><affiliation wicri:level="2"><nlm:affiliation>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="O Rourke, Colin" sort="O Rourke, Colin" uniqKey="O Rourke C" first="Colin" last="O'Rourke">Colin O'Rourke</name><affiliation wicri:level="2"><nlm:affiliation>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Baynes, Deborah" sort="Baynes, Deborah" uniqKey="Baynes D" first="Deborah" last="Baynes">Deborah Baynes</name><affiliation wicri:level="2"><nlm:affiliation>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland</wicri:cityArea></affiliation></author><author><name sortKey="Crowe, Joseph P" sort="Crowe, Joseph P" uniqKey="Crowe J" first="Joseph P" last="Crowe">Joseph P. Crowe</name><affiliation wicri:level="2"><nlm:affiliation>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland, OH.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>Division of Surgical Oncology and Breast Services, Department of General Surgery, Cleveland Clinic, Cleveland</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of the American College of Surgeons</title><idno type="eISSN">1879-1190</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms (mortality)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Logistic Models</term><term>Lymph Node Excision (methods)</term><term>Lymphatic Metastasis</term><term>Lymphedema (epidemiology)</term><term>Lymphedema (etiology)</term><term>Mastectomy</term><term>Neoplasm Recurrence, Local (epidemiology)</term><term>Neoplasm Recurrence, Local (prevention & control)</term><term>Postoperative Complications (epidemiology)</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy</term><term>Survival Analysis</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle</term><term>Analyse de survie</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Complications postopératoires (épidémiologie)</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie ()</term><term>Lymphoedème (épidémiologie)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie</term><term>Modèles logistiques</term><term>Métastase lymphatique</term><term>Récidive tumorale locale ()</term><term>Récidive tumorale locale (épidémiologie)</term><term>Résultat thérapeutique</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (mortalité)</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Neoplasm Recurrence, Local</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Neoplasm Recurrence, Local</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Récidive tumorale locale</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Axilla</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Logistic Models</term><term>Lymphatic Metastasis</term><term>Mastectomy</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy</term><term>Survival Analysis</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aisselle</term><term>Analyse de survie</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Mastectomie</term><term>Modèles logistiques</term><term>Métastase lymphatique</term><term>Récidive tumorale locale</term><term>Résultat thérapeutique</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Recently, the American College of Surgeons Oncology Group Z0011 trial demonstrated that axillary lymph node dissection (ALND) could be safely avoided in selected breast cancer patients with limited nodal disease and having breast conservation therapy. However, for node positive (N+) mastectomy patients, full ALND remains the standard of care. Hypothesizing that omission of complete ALND is safe in many N+ breast cancer patients, a hybrid procedure called conservative axillary regional excision (CARE) was developed, consisting of removal of sentinel nodes and other palpable nodes (without intraoperative frozen section or reoperation for N+).</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Ohio</li></region></list><tree><country name="États-Unis"><region name="Ohio"><name sortKey="Cowher, Michael S" sort="Cowher, Michael S" uniqKey="Cowher M" first="Michael S" last="Cowher">Michael S. Cowher</name></region><name sortKey="Baynes, Deborah" sort="Baynes, Deborah" uniqKey="Baynes D" first="Deborah" last="Baynes">Deborah Baynes</name><name sortKey="Crowe, Joseph P" sort="Crowe, Joseph P" uniqKey="Crowe J" first="Joseph P" last="Crowe">Joseph P. Crowe</name><name sortKey="Grobmyer, Stephen R" sort="Grobmyer, Stephen R" uniqKey="Grobmyer S" first="Stephen R" last="Grobmyer">Stephen R. Grobmyer</name><name sortKey="Lyons, Joanne" sort="Lyons, Joanne" uniqKey="Lyons J" first="Joanne" last="Lyons">Joanne Lyons</name><name sortKey="O Rourke, Colin" sort="O Rourke, Colin" uniqKey="O Rourke C" first="Colin" last="O'Rourke">Colin O'Rourke</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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