Targeting and limiting surgery for patients with node-positive breast cancer
Identifieur interne : 007536 ( Ncbi/Checkpoint ); précédent : 007535; suivant : 007537Targeting and limiting surgery for patients with node-positive breast cancer
Auteurs : Abigail S. Caudle [États-Unis] ; Henry M. Kuerer [États-Unis]Source :
- BMC Medicine [ 1741-7015 ] ; 2015.
Abstract
The presence of axillary nodal metastases has a significant impact on locoregional and systemic treatment decisions. Historically, all node-positive patients underwent complete axillary lymph node dissection; however, this paradigm has changed over the last 10 years. The use of sentinel lymph node dissection has expanded from its initial role as a surgical staging procedure in clinically node-negative patients. Clinically node-negative patients with small volume disease found on sentinel lymph node dissection now commonly avoid more extensive axillary surgery. There is interest in expanding this role to node-positive patients who receive neoadjuvant chemotherapy as a way to restage the axilla in hopes of sparing women who convert to node-negative status from the morbidity of complete nodal clearance. While sentinel lymph node dissection alone may not accomplish this goal, there are novel techniques, such as targeted axillary dissection, that may now allow for reliable nodal staging after chemotherapy.
Url:
DOI: 10.1186/s12916-015-0385-5
PubMed: 26109042
PubMed Central: 4481081
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Targeting and limiting surgery for patients with node-positive breast cancer</title><author><name sortKey="Caudle, Abigail S" sort="Caudle, Abigail S" uniqKey="Caudle A" first="Abigail S." last="Caudle">Abigail S. Caudle</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston, TX 77230-1402 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Kuerer, Henry M" sort="Kuerer, Henry M" uniqKey="Kuerer H" first="Henry M." last="Kuerer">Henry M. Kuerer</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston, TX 77230-1402 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26109042</idno><idno type="pmc">4481081</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481081</idno><idno type="RBID">PMC:4481081</idno><idno type="doi">10.1186/s12916-015-0385-5</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000F27</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000F27</idno><idno type="wicri:Area/Pmc/Curation">000F26</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000F26</idno><idno type="wicri:Area/Pmc/Checkpoint">000E32</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000E32</idno><idno type="wicri:Area/Ncbi/Merge">007536</idno><idno type="wicri:Area/Ncbi/Curation">007536</idno><idno type="wicri:Area/Ncbi/Checkpoint">007536</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Targeting and limiting surgery for patients with node-positive breast cancer</title><author><name sortKey="Caudle, Abigail S" sort="Caudle, Abigail S" uniqKey="Caudle A" first="Abigail S." last="Caudle">Abigail S. Caudle</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston, TX 77230-1402 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Kuerer, Henry M" sort="Kuerer, Henry M" uniqKey="Kuerer H" first="Henry M." last="Kuerer">Henry M. Kuerer</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston, TX 77230-1402 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit1484, Houston</wicri:cityArea></affiliation></author></analytic><series><title level="j">BMC Medicine</title><idno type="eISSN">1741-7015</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The presence of axillary nodal metastases has a significant impact on locoregional and systemic treatment decisions. Historically, all node-positive patients underwent complete axillary lymph node dissection; however, this paradigm has changed over the last 10 years. The use of sentinel lymph node dissection has expanded from its initial role as a surgical staging procedure in clinically node-negative patients. Clinically node-negative patients with small volume disease found on sentinel lymph node dissection now commonly avoid more extensive axillary surgery. There is interest in expanding this role to node-positive patients who receive neoadjuvant chemotherapy as a way to restage the axilla in hopes of sparing women who convert to node-negative status from the morbidity of complete nodal clearance. While sentinel lymph node dissection alone may not accomplish this goal, there are novel techniques, such as targeted axillary dissection, that may now allow for reliable nodal staging after chemotherapy.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Carter, C" uniqKey="Carter C">C Carter</name></author><author><name sortKey="Allen, C" uniqKey="Allen C">C Allen</name></author><author><name sortKey="Henson, D" uniqKey="Henson D">D Henson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beenken, S" uniqKey="Beenken S">S Beenken</name></author><author><name sortKey="Urist, M" uniqKey="Urist M">M Urist</name></author><author><name sortKey="Zhang, Y" uniqKey="Zhang Y">Y Zhang</name></author><author><name sortKey="Desmond, R" uniqKey="Desmond R">R Desmond</name></author><author><name sortKey="Krontiras, H" uniqKey="Krontiras H">H Krontiras</name></author><author><name sortKey="Medina, H" 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uniqKey="Degnim A">A Degnim</name></author><author><name sortKey="Boughey, J" uniqKey="Boughey J">J Boughey</name></author><author><name sortKey="Gardner, M" uniqKey="Gardner M">M Gardner</name></author><author><name sortKey="Cox, C" uniqKey="Cox C">C Cox</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choy, N" uniqKey="Choy N">N Choy</name></author><author><name sortKey="Lipson, J" uniqKey="Lipson J">J Lipson</name></author><author><name sortKey="Porter, C" uniqKey="Porter C">C Porter</name></author><author><name sortKey="Ozawa, M" uniqKey="Ozawa M">M Ozawa</name></author><author><name sortKey="Kieryn, A" uniqKey="Kieryn A">A Kieryn</name></author><author><name sortKey="Pal, S" uniqKey="Pal S">S Pal</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Caudle, Abigail S" sort="Caudle, Abigail S" uniqKey="Caudle A" first="Abigail S." last="Caudle">Abigail S. Caudle</name></region><name sortKey="Kuerer, Henry M" sort="Kuerer, Henry M" uniqKey="Kuerer H" first="Henry M." last="Kuerer">Henry M. Kuerer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|area= LymphedemaV1
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|texte= Targeting and limiting surgery for patients with node-positive breast cancer
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