Controlled introduction of the sentinel node biopsy in breast cancer in a multi-centre setting: the role of a coordinator for quality control
Identifieur interne : 00A741 ( Main/Exploration ); précédent : 00A740; suivant : 00A742Controlled introduction of the sentinel node biopsy in breast cancer in a multi-centre setting: the role of a coordinator for quality control
Auteurs : A. Y. De Kanter [Pays-Bas] ; A. N. Van Geel [Pays-Bas] ; M. A. Paul [Pays-Bas] ; C. H. J. Van Eijck [Pays-Bas] ; S. C. Henzen-Logmans [Pays-Bas] ; R. H. Kruyt [Pays-Bas] ; E. P. Krenning [Pays-Bas] ; A. M. M. Eggermont [Pays-Bas] ; T. Wiggers [Pays-Bas]Source :
- European Journal of Surgical Oncology [ 0748-7983 ] ; 2000.
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Abstract
Aims It is proposed that sentinel node biopsy should replace axillary lymph-node dissection. We analysed the role of a coordinator in the introduction of the sentinel node biopsy in breast cancer in a multi-centre setting to assure standardization and quality control. Methods We included 232 operable breast cancer patients. Part of the procedure was an ultrasound examination of the axilla with fine needle aspiration cytology. The sentinel node was identified with 99m-Technetium and Patent Blue. Results The results of the procedure, sensitivity and false negativity, were the same for the three participating hospitals. We think this is mostly due to the coordinator who supplied information about the technique, pitfalls and results to all teams. Conclusions Our experience regarding the organization aspects of introducing the sentinel node procedure in a multi-centre setting now serves as a model in organizing its application in a much wider number of hospitals.
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DOI: 10.1053/ejso.2000.0976
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Y." last="De Kanter">A. Y. De Kanter</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Van Geel, A N" sort="Van Geel, A N" uniqKey="Van Geel A" first="A. N." last="Van Geel">A. N. Van Geel</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Paul, M A" sort="Paul, M A" uniqKey="Paul M" first="M. A." last="Paul">M. A. Paul</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Nuclear Medicine, University Hospital Rotterdam/Dijkzigt Hospital</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Dijkzigt Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Van Eijck, C H J" sort="Van Eijck, C H J" uniqKey="Van Eijck C" first="C. H. J." last="Van Eijck">C. H. J. Van Eijck</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Hospital Rotterdam/Dijkzigt Hospital</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Dijkzigt Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Henzen Logmans, S C" sort="Henzen Logmans, S C" uniqKey="Henzen Logmans S" first="S. C." last="Henzen-Logmans">S. C. Henzen-Logmans</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Pathology, University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Kruyt, R H" sort="Kruyt, R H" uniqKey="Kruyt R" first="R. H." last="Kruyt">R. H. Kruyt</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Radiology, University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Krenning, E P" sort="Krenning, E P" uniqKey="Krenning E" first="E. P." last="Krenning">E. P. Krenning</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, Zuiderziekenhuis Rotterdam</wicri:regionArea><wicri:noRegion>Zuiderziekenhuis Rotterdam</wicri:noRegion></affiliation></author><author><name sortKey="Eggermont, A M M" sort="Eggermont, A M M" uniqKey="Eggermont A" first="A. M. M." last="Eggermont">A. M. M. Eggermont</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Wiggers, T" sort="Wiggers, T" uniqKey="Wiggers T" first="T." last="Wiggers">T. Wiggers</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgery, University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:regionArea><wicri:noRegion>University Hospital Rotterdam/Daniel den Hoed Cancer Center</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">European Journal of Surgical Oncology</title><title level="j" type="abbrev">YEJSO</title><idno type="ISSN">0748-7983</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2000">2000</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="652">652</biblScope><biblScope unit="page" to="656">656</biblScope></imprint><idno type="ISSN">0748-7983</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0748-7983</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>learning curve</term><term>quality control.</term><term>sentinel node</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Aims It is proposed that sentinel node biopsy should replace axillary lymph-node dissection. We analysed the role of a coordinator in the introduction of the sentinel node biopsy in breast cancer in a multi-centre setting to assure standardization and quality control. Methods We included 232 operable breast cancer patients. Part of the procedure was an ultrasound examination of the axilla with fine needle aspiration cytology. The sentinel node was identified with 99m-Technetium and Patent Blue. Results The results of the procedure, sensitivity and false negativity, were the same for the three participating hospitals. We think this is mostly due to the coordinator who supplied information about the technique, pitfalls and results to all teams. Conclusions Our experience regarding the organization aspects of introducing the sentinel node procedure in a multi-centre setting now serves as a model in organizing its application in a much wider number of hospitals.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="De Kanter, A Y" sort="De Kanter, A Y" uniqKey="De Kanter A" first="A. Y." last="De Kanter">A. Y. De Kanter</name></noRegion><name sortKey="Eggermont, A M M" sort="Eggermont, A M M" uniqKey="Eggermont A" first="A. M. M." last="Eggermont">A. M. M. Eggermont</name><name sortKey="Henzen Logmans, S C" sort="Henzen Logmans, S C" uniqKey="Henzen Logmans S" first="S. C." last="Henzen-Logmans">S. C. Henzen-Logmans</name><name sortKey="Krenning, E P" sort="Krenning, E P" uniqKey="Krenning E" first="E. P." last="Krenning">E. P. Krenning</name><name sortKey="Kruyt, R H" sort="Kruyt, R H" uniqKey="Kruyt R" first="R. H." last="Kruyt">R. H. Kruyt</name><name sortKey="Paul, M A" sort="Paul, M A" uniqKey="Paul M" first="M. A." last="Paul">M. A. Paul</name><name sortKey="Van Eijck, C H J" sort="Van Eijck, C H J" uniqKey="Van Eijck C" first="C. H. J." last="Van Eijck">C. H. J. Van Eijck</name><name sortKey="Van Geel, A N" sort="Van Geel, A N" uniqKey="Van Geel A" first="A. N." last="Van Geel">A. N. Van Geel</name><name sortKey="Wiggers, T" sort="Wiggers, T" uniqKey="Wiggers T" first="T." last="Wiggers">T. Wiggers</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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