[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].
Identifieur interne : 003D11 ( Ncbi/Curation ); précédent : 003D10; suivant : 003D12[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].
Auteurs : P. Dufour ; J C Laurent ; G. Depadt ; A. DemailleSource :
- Journal de gynecologie, obstetrique et biologie de la reproduction [ 0368-2315 ] ; 1991.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aisselle, Complications postopératoires (épidémiologie), Durée du séjour (), Humains, Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphadénectomie (normes), Métastase lymphatique (anatomopathologie), Protocoles cliniques (normes), Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Taux de survie, Tumeurs du sein (), Tumeurs du sein (mortalité), Tumeurs du sein (secondaire), Études de suivi.
- MESH :
- anatomopathologie : Métastase lymphatique.
- effets indésirables : Lymphadénectomie.
- mortalité : Tumeurs du sein.
- normes : Lymphadénectomie, Protocoles cliniques.
- secondaire : Tumeurs du sein.
- épidémiologie : Complications postopératoires.
- Adulte, Adulte d'âge moyen, Aisselle, Durée du séjour, Humains, Lymphadénectomie, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Taux de survie, Tumeurs du sein, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Axilla, Breast Neoplasms (mortality), Breast Neoplasms (secondary), Breast Neoplasms (surgery), Clinical Protocols (standards), Follow-Up Studies, Humans, Length of Stay (statistics & numerical data), Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymph Node Excision (standards), Lymphatic Metastasis (pathology), Middle Aged, Neoplasm Staging, Postoperative Complications (epidemiology), Survival Rate.
- MESH :
- adverse effects : Lymph Node Excision.
- epidemiology : Postoperative Complications.
- methods : Lymph Node Excision.
- mortality : Breast Neoplasms.
- pathology : Lymphatic Metastasis.
- secondary : Breast Neoplasms.
- standards : Clinical Protocols, Lymph Node Excision.
- statistics & numerical data : Length of Stay.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Axilla, Follow-Up Studies, Humans, Middle Aged, Neoplasm Staging, Survival Rate.
Abstract
895 axillary clearances were carried out in 3 years between 1986 and 1988 on 878 patients with primary breast cancer. Two procedures were used: either direct total axillary clearance (in stages 1, 2 and 3 of Berg) or inferior axillary clearance (stages 1 and 2 of Berg). This was carried out in association with frozen section diagnosis of the lymph node followed by clearance in Berg stage 3 if the diagnosis on frozen section was positive. The authors found a higher frequency of late complications, particularly of arm lymphoedema in patients who had complete axillary clearance than in patients who only had an inferior axillary clearance. The survival rate actuarilly calculated was not significantly different in the two groups of patients. The carrying out of total axillary clearance was "beneficial" for only 3 patients who had negative inferior axillary clearance and positive sub-clavicular clearance. Finally the frozen section diagnosis of the state of the axillary nodes shown to be correct (specificity -99% and sensitivity -76%) but it was difficult to carry out routinely.
PubMed: 2071860
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P. Dufour<affiliation><nlm:affiliation>Service de Chirurgie, Centre Oscar-Lambret, Lille.</nlm:affiliation>
<wicri:noCountry code="subField">Lille</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Laurent, J C" sort="Laurent, J C" uniqKey="Laurent J" first="J C" last="Laurent">J C Laurent</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].</title>
<author><name sortKey="Dufour, P" sort="Dufour, P" uniqKey="Dufour P" first="P" last="Dufour">P. Dufour</name>
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<series><title level="j">Journal de gynecologie, obstetrique et biologie de la reproduction</title>
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<imprint><date when="1991" type="published">1991</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Breast Neoplasms (mortality)</term>
<term>Breast Neoplasms (secondary)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Clinical Protocols (standards)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Length of Stay (statistics & numerical data)</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Node Excision (standards)</term>
<term>Lymphatic Metastasis (pathology)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Survival Rate</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Durée du séjour ()</term>
<term>Humains</term>
<term>Lymphadénectomie ()</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphadénectomie (normes)</term>
<term>Métastase lymphatique (anatomopathologie)</term>
<term>Protocoles cliniques (normes)</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taux de survie</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (mortalité)</term>
<term>Tumeurs du sein (secondaire)</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Métastase lymphatique</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</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="normes" xml:lang="fr"><term>Lymphadénectomie</term>
<term>Protocoles cliniques</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Metastasis</term>
</keywords>
<keywords scheme="MESH" qualifier="secondaire" xml:lang="fr"><term>Tumeurs du sein</term>
</keywords>
<keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Clinical Protocols</term>
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Length of Stay</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Axilla</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Survival Rate</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
<term>Durée du séjour</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Stade de la tumeur</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taux de survie</term>
<term>Tumeurs du sein</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">895 axillary clearances were carried out in 3 years between 1986 and 1988 on 878 patients with primary breast cancer. Two procedures were used: either direct total axillary clearance (in stages 1, 2 and 3 of Berg) or inferior axillary clearance (stages 1 and 2 of Berg). This was carried out in association with frozen section diagnosis of the lymph node followed by clearance in Berg stage 3 if the diagnosis on frozen section was positive. The authors found a higher frequency of late complications, particularly of arm lymphoedema in patients who had complete axillary clearance than in patients who only had an inferior axillary clearance. The survival rate actuarilly calculated was not significantly different in the two groups of patients. The carrying out of total axillary clearance was "beneficial" for only 3 patients who had negative inferior axillary clearance and positive sub-clavicular clearance. Finally the frozen section diagnosis of the state of the axillary nodes shown to be correct (specificity -99% and sensitivity -76%) but it was difficult to carry out routinely.</div>
</front>
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</record>
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