[Axillary dissection in cancer of the breast: a conservative approach].
Identifieur interne : 012802 ( Main/Exploration ); précédent : 012801; suivant : 012803[Axillary dissection in cancer of the breast: a conservative approach].
Auteurs : S L Faria ; W R Schlupp ; H. Chiminazzo Júnior ; J A De Oliveira FilhoSource :
- Revista paulista de medicina [ 0035-0362 ]
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- mortality : Breast Neoplasms.
- surgery : Axilla, Breast Neoplasms, Lymph Nodes.
- Adult, Aged, Aged, 80 and over, Dissection, Female, Humans, Middle Aged, Multivariate Analysis.
Abstract
It is common in oncology to have more than one alternative treatment for the same clinical situation. This is particularly true in breast cancer. Traditional treatments such as Halsted Radical Mastectomies are difficult to change. It is not uncommon to see this approach in Brazil, even in initial tumors, although it is considered unnecessary unless the pectoralis muscle is involved. Radical dissection of the axilla is another controversial issue in breast cancer today. Recent publications have given support to question the routine recommendation of axillary dissection in breast cancer. It is reasonable, under certain circumstances, not to perform axillary dissection or treat the axilla with other methods. Limited axillary dissection, for instance, may present good results with less risk of arm lymphedema. This paper illustrates this point showing preliminary results of 147 breast cancer patients with local tumor treated with conservative management. Half of the patients (74) had axillary surgery while the other 73 did not. Multivariate analysis using Cox's regression was performed and showed that axillary dissection did not change survival. This information confirms similar data published in the literature.
PubMed: 2629057
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 006026
- to stream PubMed, to step Curation: 006026
- to stream PubMed, to step Checkpoint: 006026
- to stream Ncbi, to step Merge: 007774
- to stream Ncbi, to step Curation: 007774
- to stream Ncbi, to step Checkpoint: 007774
- to stream Main, to step Merge: 013A18
- to stream Main, to step Curation: 012802
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Axillary dissection in cancer of the breast: a conservative approach].</title><author><name sortKey="Faria, S L" sort="Faria, S L" uniqKey="Faria S" first="S L" last="Faria">S L Faria</name></author><author><name sortKey="Schlupp, W R" sort="Schlupp, W R" uniqKey="Schlupp W" first="W R" last="Schlupp">W R Schlupp</name></author><author><name sortKey="Chiminazzo Junior, H" sort="Chiminazzo Junior, H" uniqKey="Chiminazzo Junior H" first="H" last="Chiminazzo Júnior">H. Chiminazzo Júnior</name></author><author><name sortKey="De Oliveira Filho, J A" sort="De Oliveira Filho, J A" uniqKey="De Oliveira Filho J" first="J A" last="De Oliveira Filho">J A De Oliveira Filho</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>1989 Mar-Apr</MedlineDate></PubDate></date><idno type="RBID">pubmed:2629057</idno><idno type="pmid">2629057</idno><idno type="wicri:Area/PubMed/Corpus">006026</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">006026</idno><idno type="wicri:Area/PubMed/Curation">006026</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">006026</idno><idno type="wicri:Area/PubMed/Checkpoint">006026</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">006026</idno><idno type="wicri:Area/Ncbi/Merge">007774</idno><idno type="wicri:Area/Ncbi/Curation">007774</idno><idno type="wicri:Area/Ncbi/Checkpoint">007774</idno><idno type="wicri:doubleKey">0035-0362::Faria S:axillary:dissection:in</idno><idno type="wicri:Area/Main/Merge">013A18</idno><idno type="wicri:Area/Main/Curation">012802</idno><idno type="wicri:Area/Main/Exploration">012802</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Axillary dissection in cancer of the breast: a conservative approach].</title><author><name sortKey="Faria, S L" sort="Faria, S L" uniqKey="Faria S" first="S L" last="Faria">S L Faria</name></author><author><name sortKey="Schlupp, W R" sort="Schlupp, W R" uniqKey="Schlupp W" first="W R" last="Schlupp">W R Schlupp</name></author><author><name sortKey="Chiminazzo Junior, H" sort="Chiminazzo Junior, H" uniqKey="Chiminazzo Junior H" first="H" last="Chiminazzo Júnior">H. Chiminazzo Júnior</name></author><author><name sortKey="De Oliveira Filho, J A" sort="De Oliveira Filho, J A" uniqKey="De Oliveira Filho J" first="J A" last="De Oliveira Filho">J A De Oliveira Filho</name></author></analytic><series><title level="j">Revista paulista de medicina</title><idno type="ISSN">0035-0362</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla (surgery)</term><term>Breast Neoplasms (mortality)</term><term>Breast Neoplasms (surgery)</term><term>Dissection</term><term>Female</term><term>Humans</term><term>Lymph Nodes (surgery)</term><term>Middle Aged</term><term>Multivariate Analysis</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle ()</term><term>Analyse multivariée</term><term>Dissection</term><term>Femelle</term><term>Humains</term><term>Noeuds lymphatiques ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (mortalité)</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="surgery" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms</term><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Dissection</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Multivariate Analysis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Analyse multivariée</term><term>Dissection</term><term>Femelle</term><term>Humains</term><term>Noeuds lymphatiques</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">It is common in oncology to have more than one alternative treatment for the same clinical situation. This is particularly true in breast cancer. Traditional treatments such as Halsted Radical Mastectomies are difficult to change. It is not uncommon to see this approach in Brazil, even in initial tumors, although it is considered unnecessary unless the pectoralis muscle is involved. Radical dissection of the axilla is another controversial issue in breast cancer today. Recent publications have given support to question the routine recommendation of axillary dissection in breast cancer. It is reasonable, under certain circumstances, not to perform axillary dissection or treat the axilla with other methods. Limited axillary dissection, for instance, may present good results with less risk of arm lymphedema. This paper illustrates this point showing preliminary results of 147 breast cancer patients with local tumor treated with conservative management. Half of the patients (74) had axillary surgery while the other 73 did not. Multivariate analysis using Cox's regression was performed and showed that axillary dissection did not change survival. This information confirms similar data published in the literature.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chiminazzo Junior, H" sort="Chiminazzo Junior, H" uniqKey="Chiminazzo Junior H" first="H" last="Chiminazzo Júnior">H. Chiminazzo Júnior</name><name sortKey="De Oliveira Filho, J A" sort="De Oliveira Filho, J A" uniqKey="De Oliveira Filho J" first="J A" last="De Oliveira Filho">J A De Oliveira Filho</name><name sortKey="Faria, S L" sort="Faria, S L" uniqKey="Faria S" first="S L" last="Faria">S L Faria</name><name sortKey="Schlupp, W R" sort="Schlupp, W R" uniqKey="Schlupp W" first="W R" last="Schlupp">W R Schlupp</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 012802 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 012802 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:2629057
|texte= [Axillary dissection in cancer of the breast: a conservative approach].
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:2629057" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |