Sentinel Node Identification Rate and Nodal Involvement in the EORTC 10981-22023 AMAROS Trial
Identifieur interne : 005624 ( Main/Exploration ); précédent : 005623; suivant : 005625Sentinel Node Identification Rate and Nodal Involvement in the EORTC 10981-22023 AMAROS Trial
Auteurs : Marieke E. Straver [Pays-Bas] ; Philip Meijnen [Pays-Bas] ; Geertjan Van Tienhoven [Pays-Bas] ; Cornelis J. H. Van De Velde [Pays-Bas] ; Robert E. Mansel ; Jan Bogaerts [Belgique] ; Nicole Duez [Belgique] ; Luigi Cataliotti [Italie] ; Jean H. G. Klinkenbijl [Pays-Bas] ; Helen A. Westenberg [Pays-Bas] ; Huub Van Der Mijle [Pays-Bas] ; Marko Snoj [Slovénie] ; Coen Hurkmans [Pays-Bas] ; Emiel J. T. Rutgers [Pays-Bas]Source :
- Annals of Surgical Oncology [ 1068-9265 ] ; 2010.
Abstract
The randomized EORTC 10981-22023 AMAROS trial investigates whether breast cancer patients with a tumor-positive sentinel node biopsy (SNB) are best treated with an axillary lymph node dissection (ALND) or axillary radiotherapy (ART). The aim of the current substudy was to evaluate the identification rate and the nodal involvement.
The first 2,000 patients participating in the AMAROS trial were evaluated. Associations between the identification rate and technical, patient-, and tumor-related factors were evaluated. The outcome of the SNB procedure and potential further nodal involvement was assessed.
In 65 patients, the sentinel node could not be identified. As a result, the sentinel node identification rate was 97% (1,888 of 1,953). Variables affecting the success rate were age, pathological tumor size, histology, year of accrual, and method of detection. The SNB results of 65% of the patients (
With a 97% detection rate in this prospective international multicenter study, the SNB procedure is highly effective, especially when the combined method is used. Further nodal involvement in patients with micrometastases and isolated tumor cells in the sentinel node was similar—both were 18%.
Url:
DOI: 10.1245/s10434-010-0945-z
PubMed: 20300966
PubMed Central: 2889289
Affiliations:
- Belgique, Italie, Pays-Bas, Slovénie
- Hollande-Méridionale, Hollande-Septentrionale, Région de Bruxelles-Capitale
- Amsterdam, Bruxelles, Leyde
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Straver</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Meijnen, Philip" sort="Meijnen, Philip" uniqKey="Meijnen P" first="Philip" last="Meijnen">Philip Meijnen</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Van Tienhoven, Geertjan" sort="Van Tienhoven, Geertjan" uniqKey="Van Tienhoven G" first="Geertjan" last="Van Tienhoven">Geertjan Van Tienhoven</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Department of Radiation Oncology, Academic Medical Centre, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, Academic Medical Centre, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Van De Velde, Cornelis J H" sort="Van De Velde, Cornelis J H" uniqKey="Van De Velde C" first="Cornelis J. 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G." last="Klinkenbijl">Jean H. G. Klinkenbijl</name><affiliation wicri:level="1"><nlm:aff id="Aff8">Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Rijnstate Hospital, Arnhem</wicri:regionArea><wicri:noRegion>Arnhem</wicri:noRegion></affiliation></author><author><name sortKey="Westenberg, Helen A" sort="Westenberg, Helen A" uniqKey="Westenberg H" first="Helen A." last="Westenberg">Helen A. Westenberg</name><affiliation wicri:level="1"><nlm:aff id="Aff9">Department of Radiation Oncology, ARTI Institute for Radiation Oncology, Arnhem, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, ARTI Institute for Radiation Oncology, Arnhem</wicri:regionArea><wicri:noRegion>Arnhem</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Mijle, Huub" sort="Van Der Mijle, Huub" uniqKey="Van Der Mijle H" first="Huub" last="Van Der Mijle">Huub Van Der Mijle</name><affiliation wicri:level="1"><nlm:aff id="Aff10">Department of Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Snoj, Marko" sort="Snoj, Marko" uniqKey="Snoj M" first="Marko" last="Snoj">Marko Snoj</name><affiliation wicri:level="1"><nlm:aff id="Aff11">Department of Surgery, Institute of Oncology, Ljubljana, Slovenia</nlm:aff><country xml:lang="fr">Slovénie</country><wicri:regionArea>Department of Surgery, Institute of Oncology, Ljubljana</wicri:regionArea><wicri:noRegion>Ljubljana</wicri:noRegion></affiliation></author><author><name sortKey="Hurkmans, Coen" sort="Hurkmans, Coen" uniqKey="Hurkmans C" first="Coen" last="Hurkmans">Coen Hurkmans</name><affiliation wicri:level="1"><nlm:aff id="Aff12">Department of Radiation Oncology, Catherina Hospital, Eindhoven, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, Catherina Hospital, Eindhoven</wicri:regionArea><wicri:noRegion>Eindhoven</wicri:noRegion></affiliation></author><author><name sortKey="Rutgers, Emiel J T" sort="Rutgers, Emiel J T" uniqKey="Rutgers E" first="Emiel J. 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Rutgers</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20300966</idno><idno type="pmc">2889289</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2889289</idno><idno type="RBID">PMC:2889289</idno><idno type="doi">10.1245/s10434-010-0945-z</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000C11</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C11</idno><idno type="wicri:Area/Pmc/Curation">000C10</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C10</idno><idno type="wicri:Area/Pmc/Checkpoint">003225</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003225</idno><idno type="wicri:Area/Ncbi/Merge">003A01</idno><idno type="wicri:Area/Ncbi/Curation">003A01</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A01</idno><idno type="wicri:doubleKey">1068-9265:2010:Straver M:sentinel:node:identification</idno><idno type="wicri:Area/Main/Merge">005672</idno><idno type="wicri:Area/Main/Curation">005624</idno><idno type="wicri:Area/Main/Exploration">005624</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sentinel Node Identification Rate and Nodal Involvement in the EORTC 10981-22023 AMAROS Trial</title><author><name sortKey="Straver, Marieke E" sort="Straver, Marieke E" uniqKey="Straver M" first="Marieke E." last="Straver">Marieke E. Straver</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Meijnen, Philip" sort="Meijnen, Philip" uniqKey="Meijnen P" first="Philip" last="Meijnen">Philip Meijnen</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Van Tienhoven, Geertjan" sort="Van Tienhoven, Geertjan" uniqKey="Van Tienhoven G" first="Geertjan" last="Van Tienhoven">Geertjan Van Tienhoven</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Department of Radiation Oncology, Academic Medical Centre, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, Academic Medical Centre, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Van De Velde, Cornelis J H" sort="Van De Velde, Cornelis J H" uniqKey="Van De Velde C" first="Cornelis J. H." last="Van De Velde">Cornelis J. H. Van De Velde</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Department of Surgery, University Medical Centre, Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Medical Centre, Leiden</wicri:regionArea><placeName><settlement type="city">Leyde</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Mansel, Robert E" sort="Mansel, Robert E" uniqKey="Mansel R" first="Robert E." last="Mansel">Robert E. Mansel</name><affiliation><nlm:aff id="Aff5">Department of Surgery, University of Wales College of Medicine, Cardiff, Wales UK</nlm:aff><wicri:noCountry code="subfield">Wales UK</wicri:noCountry></affiliation></author><author><name sortKey="Bogaerts, Jan" sort="Bogaerts, Jan" uniqKey="Bogaerts J" first="Jan" last="Bogaerts">Jan Bogaerts</name><affiliation wicri:level="3"><nlm:aff id="Aff6">European Organisation of Research and Treatment of Cancer, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>European Organisation of Research and Treatment of Cancer, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Duez, Nicole" sort="Duez, Nicole" uniqKey="Duez N" first="Nicole" last="Duez">Nicole Duez</name><affiliation wicri:level="3"><nlm:aff id="Aff6">European Organisation of Research and Treatment of Cancer, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>European Organisation of Research and Treatment of Cancer, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName></affiliation></author><author><name sortKey="Cataliotti, Luigi" sort="Cataliotti, Luigi" uniqKey="Cataliotti L" first="Luigi" last="Cataliotti">Luigi Cataliotti</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Department of Surgery, Universita Degli studi di Firenze, Firenze, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Universita Degli studi di Firenze, Firenze</wicri:regionArea><wicri:noRegion>Firenze</wicri:noRegion></affiliation></author><author><name sortKey="Klinkenbijl, Jean H G" sort="Klinkenbijl, Jean H G" uniqKey="Klinkenbijl J" first="Jean H. G." last="Klinkenbijl">Jean H. G. Klinkenbijl</name><affiliation wicri:level="1"><nlm:aff id="Aff8">Department of Surgery, Rijnstate Hospital, Arnhem, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Rijnstate Hospital, Arnhem</wicri:regionArea><wicri:noRegion>Arnhem</wicri:noRegion></affiliation></author><author><name sortKey="Westenberg, Helen A" sort="Westenberg, Helen A" uniqKey="Westenberg H" first="Helen A." last="Westenberg">Helen A. Westenberg</name><affiliation wicri:level="1"><nlm:aff id="Aff9">Department of Radiation Oncology, ARTI Institute for Radiation Oncology, Arnhem, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, ARTI Institute for Radiation Oncology, Arnhem</wicri:regionArea><wicri:noRegion>Arnhem</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Mijle, Huub" sort="Van Der Mijle, Huub" uniqKey="Van Der Mijle H" first="Huub" last="Van Der Mijle">Huub Van Der Mijle</name><affiliation wicri:level="1"><nlm:aff id="Aff10">Department of Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Snoj, Marko" sort="Snoj, Marko" uniqKey="Snoj M" first="Marko" last="Snoj">Marko Snoj</name><affiliation wicri:level="1"><nlm:aff id="Aff11">Department of Surgery, Institute of Oncology, Ljubljana, Slovenia</nlm:aff><country xml:lang="fr">Slovénie</country><wicri:regionArea>Department of Surgery, Institute of Oncology, Ljubljana</wicri:regionArea><wicri:noRegion>Ljubljana</wicri:noRegion></affiliation></author><author><name sortKey="Hurkmans, Coen" sort="Hurkmans, Coen" uniqKey="Hurkmans C" first="Coen" last="Hurkmans">Coen Hurkmans</name><affiliation wicri:level="1"><nlm:aff id="Aff12">Department of Radiation Oncology, Catherina Hospital, Eindhoven, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiation Oncology, Catherina Hospital, Eindhoven</wicri:regionArea><wicri:noRegion>Eindhoven</wicri:noRegion></affiliation></author><author><name sortKey="Rutgers, Emiel J T" sort="Rutgers, Emiel J T" uniqKey="Rutgers E" first="Emiel J. T." last="Rutgers">Emiel J. T. Rutgers</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Surgical Oncology</title><idno type="ISSN">1068-9265</idno><idno type="eISSN">1534-4681</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The randomized EORTC 10981-22023 AMAROS trial investigates whether breast cancer patients with a tumor-positive sentinel node biopsy (SNB) are best treated with an axillary lymph node dissection (ALND) or axillary radiotherapy (ART). The aim of the current substudy was to evaluate the identification rate and the nodal involvement.</p></sec><sec><title>Methods</title><p>The first 2,000 patients participating in the AMAROS trial were evaluated. Associations between the identification rate and technical, patient-, and tumor-related factors were evaluated. The outcome of the SNB procedure and potential further nodal involvement was assessed.</p></sec><sec><title>Results</title><p>In 65 patients, the sentinel node could not be identified. As a result, the sentinel node identification rate was 97% (1,888 of 1,953). Variables affecting the success rate were age, pathological tumor size, histology, year of accrual, and method of detection. The SNB results of 65% of the patients (<italic>n</italic> = 1,220) were negative and the patients underwent no further axillary treatment. The SNB results were positive in 34% of the patients (<italic>n</italic> = 647), including macrometastases (<italic>n</italic> = 409, 63%), micrometastases (<italic>n</italic> = 161, 25%), and isolated tumor cells (<italic>n</italic> = 77, 12%). Further nodal involvement in patients with macrometastases, micrometastases, and isolated tumor cells undergoing an ALND was 41, 18, and 18%, respectively.</p></sec><sec><title>Conclusions</title><p>With a 97% detection rate in this prospective international multicenter study, the SNB procedure is highly effective, especially when the combined method is used. Further nodal involvement in patients with micrometastases and isolated tumor cells in the sentinel node was similar—both were 18%.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Braithwaite, Lr" uniqKey="Braithwaite L">LR Braithwaite</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Giuliano, Ae" uniqKey="Giuliano A">AE Giuliano</name></author><author><name sortKey="Kirgan, Dm" uniqKey="Kirgan D">DM Kirgan</name></author><author><name sortKey="Guenther, Jm" uniqKey="Guenther J">JM Guenther</name></author><author><name sortKey="Morton, Dl" uniqKey="Morton D">DL Morton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nieweg, Oe" uniqKey="Nieweg O">OE Nieweg</name></author><author><name sortKey="Jansen, L" uniqKey="Jansen L">L Jansen</name></author><author><name sortKey="Valdes Olmos, Ra" uniqKey="Valdes Olmos R">RA Valdes 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uniqKey="Guenther J">JM Guenther</name></author><author><name sortKey="Hansen, Nm" uniqKey="Hansen N">NM Hansen</name></author><author><name sortKey="Difronzo, La" uniqKey="Difronzo L">LA DiFronzo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hwang, Rf" uniqKey="Hwang R">RF Hwang</name></author><author><name sortKey="Gonzalez Angulo, Am" uniqKey="Gonzalez Angulo A">AM Gonzalez-Angulo</name></author><author><name sortKey="Yi, M" uniqKey="Yi M">M Yi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jeruss, Js" uniqKey="Jeruss J">JS Jeruss</name></author><author><name sortKey="Winchester, Dj" uniqKey="Winchester D">DJ Winchester</name></author><author><name sortKey="Sener, Sf" uniqKey="Sener S">SF Sener</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langer, I" uniqKey="Langer I">I Langer</name></author><author><name sortKey="Marti, Wr" uniqKey="Marti W">WR Marti</name></author><author><name sortKey="Guller, U" uniqKey="Guller U">U Guller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Naik, Am" uniqKey="Naik A">AM Naik</name></author><author><name sortKey="Fey, J" uniqKey="Fey J">J Fey</name></author><author><name sortKey="Gemignani, M" uniqKey="Gemignani M">M Gemignani</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Galimberti, V" uniqKey="Galimberti V">V Galimberti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zee, Kj" uniqKey="Zee K">KJ Zee</name></author><author><name sortKey="Manasseh, Dm" uniqKey="Manasseh D">DM Manasseh</name></author><author><name sortKey="Bevilacqua, Jl" uniqKey="Bevilacqua J">JL Bevilacqua</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Coutant, C" uniqKey="Coutant C">C Coutant</name></author><author><name sortKey="Olivier, C" uniqKey="Olivier C">C Olivier</name></author><author><name sortKey="Lambaudie, E" uniqKey="Lambaudie E">E Lambaudie</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Italie</li><li>Pays-Bas</li><li>Slovénie</li></country><region><li>Hollande-Méridionale</li><li>Hollande-Septentrionale</li><li>Région de Bruxelles-Capitale</li></region><settlement><li>Amsterdam</li><li>Bruxelles</li><li>Leyde</li></settlement></list><tree><noCountry><name sortKey="Mansel, Robert E" sort="Mansel, Robert E" uniqKey="Mansel R" first="Robert E." last="Mansel">Robert E. Mansel</name></noCountry><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Straver, Marieke E" sort="Straver, Marieke E" uniqKey="Straver M" first="Marieke E." last="Straver">Marieke E. Straver</name></region><name sortKey="Hurkmans, Coen" sort="Hurkmans, Coen" uniqKey="Hurkmans C" first="Coen" last="Hurkmans">Coen Hurkmans</name><name sortKey="Klinkenbijl, Jean H G" sort="Klinkenbijl, Jean H G" uniqKey="Klinkenbijl J" first="Jean H. G." last="Klinkenbijl">Jean H. G. Klinkenbijl</name><name sortKey="Meijnen, Philip" sort="Meijnen, Philip" uniqKey="Meijnen P" first="Philip" last="Meijnen">Philip Meijnen</name><name sortKey="Rutgers, Emiel J T" sort="Rutgers, Emiel J T" uniqKey="Rutgers E" first="Emiel J. T." last="Rutgers">Emiel J. T. Rutgers</name><name sortKey="Van De Velde, Cornelis J H" sort="Van De Velde, Cornelis J H" uniqKey="Van De Velde C" first="Cornelis J. H." last="Van De Velde">Cornelis J. H. Van De Velde</name><name sortKey="Van Der Mijle, Huub" sort="Van Der Mijle, Huub" uniqKey="Van Der Mijle H" first="Huub" last="Van Der Mijle">Huub Van Der Mijle</name><name sortKey="Van Tienhoven, Geertjan" sort="Van Tienhoven, Geertjan" uniqKey="Van Tienhoven G" first="Geertjan" last="Van Tienhoven">Geertjan Van Tienhoven</name><name sortKey="Westenberg, Helen A" sort="Westenberg, Helen A" uniqKey="Westenberg H" first="Helen A." last="Westenberg">Helen A. Westenberg</name></country><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Bogaerts, Jan" sort="Bogaerts, Jan" uniqKey="Bogaerts J" first="Jan" last="Bogaerts">Jan Bogaerts</name></region><name sortKey="Duez, Nicole" sort="Duez, Nicole" uniqKey="Duez N" first="Nicole" last="Duez">Nicole Duez</name></country><country name="Italie"><noRegion><name sortKey="Cataliotti, Luigi" sort="Cataliotti, Luigi" uniqKey="Cataliotti L" first="Luigi" last="Cataliotti">Luigi Cataliotti</name></noRegion></country><country name="Slovénie"><noRegion><name sortKey="Snoj, Marko" sort="Snoj, Marko" uniqKey="Snoj M" first="Marko" last="Snoj">Marko Snoj</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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