Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes
Identifieur interne : 004C33 ( Main/Exploration ); précédent : 004C32; suivant : 004C34Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes
Auteurs : Ern Yu Tan ; Bernard Ho ; Juliana J. C. Chen ; Pey Woei Ho ; Christine Teo ; Arul Earnest ; Patrick M. Y. ChanSource :
- ISRN Oncology [ 2090-5661 ] ; 2011.
Abstract
Url:
DOI: 10.5402/2011/539503
PubMed: 22091423
PubMed Central: 3199941
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes</title><author><name sortKey="Tan, Ern Yu" sort="Tan, Ern Yu" uniqKey="Tan E" first="Ern Yu" last="Tan">Ern Yu Tan</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Ho, Bernard" sort="Ho, Bernard" uniqKey="Ho B" first="Bernard" last="Ho">Bernard Ho</name><affiliation><nlm:aff id="I2">Department of Pathology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Chen, Juliana J C" sort="Chen, Juliana J C" uniqKey="Chen J" first="Juliana J. C." last="Chen">Juliana J. C. Chen</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Ho, Pey Woei" sort="Ho, Pey Woei" uniqKey="Ho P" first="Pey Woei" last="Ho">Pey Woei Ho</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Teo, Christine" sort="Teo, Christine" uniqKey="Teo C" first="Christine" last="Teo">Christine Teo</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Earnest, Arul" sort="Earnest, Arul" uniqKey="Earnest A" first="Arul" last="Earnest">Arul Earnest</name><affiliation><nlm:aff id="I3">Centre for Quantitative Medicine, Duke-NUS Graduate Medical School Singapore, 8 College Road, Singapore 169857</nlm:aff><wicri:noCountry code="subfield">Singapore 169857</wicri:noCountry></affiliation></author><author><name sortKey="Chan, Patrick M Y" sort="Chan, Patrick M Y" uniqKey="Chan P" first="Patrick M. Y." last="Chan">Patrick M. Y. Chan</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22091423</idno><idno type="pmc">3199941</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3199941</idno><idno type="RBID">PMC:3199941</idno><idno type="doi">10.5402/2011/539503</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">003E94</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003E94</idno><idno type="wicri:Area/Pmc/Curation">003E93</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003E93</idno><idno type="wicri:Area/Pmc/Checkpoint">002D96</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002D96</idno><idno type="wicri:Area/Ncbi/Merge">004836</idno><idno type="wicri:Area/Ncbi/Curation">004836</idno><idno type="wicri:Area/Ncbi/Checkpoint">004836</idno><idno type="wicri:doubleKey">2090-5661:2011:Tan E:predictors:of:nonsentinel</idno><idno type="wicri:Area/Main/Merge">004C67</idno><idno type="wicri:Area/Main/Curation">004C33</idno><idno type="wicri:Area/Main/Exploration">004C33</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes</title><author><name sortKey="Tan, Ern Yu" sort="Tan, Ern Yu" uniqKey="Tan E" first="Ern Yu" last="Tan">Ern Yu Tan</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Ho, Bernard" sort="Ho, Bernard" uniqKey="Ho B" first="Bernard" last="Ho">Bernard Ho</name><affiliation><nlm:aff id="I2">Department of Pathology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Chen, Juliana J C" sort="Chen, Juliana J C" uniqKey="Chen J" first="Juliana J. C." last="Chen">Juliana J. C. Chen</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Ho, Pey Woei" sort="Ho, Pey Woei" uniqKey="Ho P" first="Pey Woei" last="Ho">Pey Woei Ho</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Teo, Christine" sort="Teo, Christine" uniqKey="Teo C" first="Christine" last="Teo">Christine Teo</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author><author><name sortKey="Earnest, Arul" sort="Earnest, Arul" uniqKey="Earnest A" first="Arul" last="Earnest">Arul Earnest</name><affiliation><nlm:aff id="I3">Centre for Quantitative Medicine, Duke-NUS Graduate Medical School Singapore, 8 College Road, Singapore 169857</nlm:aff><wicri:noCountry code="subfield">Singapore 169857</wicri:noCountry></affiliation></author><author><name sortKey="Chan, Patrick M Y" sort="Chan, Patrick M Y" uniqKey="Chan P" first="Patrick M. Y." last="Chan">Patrick M. Y. Chan</name><affiliation><nlm:aff id="I1">Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433</nlm:aff><wicri:noCountry code="subfield">Singapore 308433</wicri:noCountry></affiliation></author></analytic><series><title level="j">ISRN Oncology</title><idno type="ISSN">2090-5661</idno><idno type="eISSN">2090-567X</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background</italic>. Up to 60% of patients with a positive sentinel lymph node (SLN) have no additional nodal involvement and do not benefit from completion axillary lymph node dissection (ALND). We aim to identify factors predicting for non-SLN involvement and to validate the MSKCC nomogram and Tenon score in our population. <italic>Methods</italic>. Retrospective review was performed of 110 consecutive patients with positive SLNs who underwent ALND over an 8-year period. <italic>Results</italic>. Fifty patients (45%) had non-SLN involvement. Non-SLN involvement correlated positively with the number of positive SLNs (<italic>P</italic> = 0.04), macrometastasis (<italic>P</italic> = 0.01), and inversely with the total number of SLNs harvested (<italic>P</italic> = 0.03). The MSKCC nomogram and Tenon score both failed to perform as previously reported. <italic>Conclusions</italic>. The MSKCC nomogram and Tenon score have limited value in our practice. Instead, we identified three independent predictors, which are more relevant in guiding the intraoperative decision for ALND.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Veronesi, U" uniqKey="Veronesi U">U Veronesi</name></author><author><name sortKey="Paganelli, G" uniqKey="Paganelli G">G Paganelli</name></author><author><name sortKey="Viale, G" uniqKey="Viale G">G Viale</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mansel, Re" uniqKey="Mansel R">RE Mansel</name></author><author><name sortKey="Fallowfield, L" uniqKey="Fallowfield L">L Fallowfield</name></author><author><name sortKey="Kissin, M" uniqKey="Kissin M">M Kissin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reynolds, C" uniqKey="Reynolds C">C Reynolds</name></author><author><name sortKey="Mick, R" uniqKey="Mick R">R Mick</name></author><author><name sortKey="Donohue, Jh" uniqKey="Donohue 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Y." last="Chan">Patrick M. Y. Chan</name><name sortKey="Chen, Juliana J C" sort="Chen, Juliana J C" uniqKey="Chen J" first="Juliana J. C." last="Chen">Juliana J. C. Chen</name><name sortKey="Earnest, Arul" sort="Earnest, Arul" uniqKey="Earnest A" first="Arul" last="Earnest">Arul Earnest</name><name sortKey="Ho, Bernard" sort="Ho, Bernard" uniqKey="Ho B" first="Bernard" last="Ho">Bernard Ho</name><name sortKey="Ho, Pey Woei" sort="Ho, Pey Woei" uniqKey="Ho P" first="Pey Woei" last="Ho">Pey Woei Ho</name><name sortKey="Tan, Ern Yu" sort="Tan, Ern Yu" uniqKey="Tan E" first="Ern Yu" last="Tan">Ern Yu Tan</name><name sortKey="Teo, Christine" sort="Teo, Christine" uniqKey="Teo C" first="Christine" last="Teo">Christine Teo</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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