Is routine sentinel lymph node biopsy indicated in women undergoing contralateral prophylactic mastectomy? Magee-Womens Hospital experience.
Identifieur interne : 002492 ( Ncbi/Merge ); précédent : 002491; suivant : 002493Is routine sentinel lymph node biopsy indicated in women undergoing contralateral prophylactic mastectomy? Magee-Womens Hospital experience.
Auteurs : Atilla Soran [États-Unis] ; Jeffrey Falk ; Marguerite Bonaventura ; Donald Keenan ; Gretchen Ahrendt ; Ronald JohnsonSource :
- Annals of surgical oncology [ 1068-9265 ] ; 2007.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Biopsie de noeud lymphatique sentinelle, Carcinome canalaire du sein (), Carcinome canalaire du sein (anatomopathologie), Carcinome lobulaire (), Carcinome lobulaire (anatomopathologie), Femelle, Humains, Mastectomie, Sujet âgé, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études rétrospectives.
- MESH :
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Carcinoma, Ductal, Breast (pathology), Carcinoma, Ductal, Breast (surgery), Carcinoma, Lobular (pathology), Carcinoma, Lobular (surgery), Female, Humans, Mastectomy, Middle Aged, Retrospective Studies, Sentinel Lymph Node Biopsy.
- MESH :
Abstract
The routine use of sentinel node biopsy (SLNB) at the time of prophylactic mastectomy remains controversial. This retrospective study was undertaken to determine if SLNB is justified in patients undergoing CPM.
DOI: 10.1245/s10434-006-9264-9
PubMed: 17122987
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Magee-Womens Hospital experience.</title><author><name sortKey="Soran, Atilla" sort="Soran, Atilla" uniqKey="Soran A" first="Atilla" last="Soran">Atilla Soran</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Magee-Womens Hospital of UPMC, 300 Halket St. Suite 2601, Pittsburgh, PA 15213, USA. asoran@magee.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Magee-Womens Hospital of UPMC, 300 Halket St. Suite 2601, Pittsburgh, PA 15213</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Falk, Jeffrey" sort="Falk, Jeffrey" uniqKey="Falk J" first="Jeffrey" last="Falk">Jeffrey Falk</name></author><author><name sortKey="Bonaventura, Marguerite" sort="Bonaventura, Marguerite" uniqKey="Bonaventura M" first="Marguerite" last="Bonaventura">Marguerite Bonaventura</name></author><author><name sortKey="Keenan, Donald" sort="Keenan, Donald" uniqKey="Keenan D" first="Donald" last="Keenan">Donald Keenan</name></author><author><name sortKey="Ahrendt, Gretchen" sort="Ahrendt, Gretchen" uniqKey="Ahrendt G" first="Gretchen" last="Ahrendt">Gretchen Ahrendt</name></author><author><name sortKey="Johnson, Ronald" sort="Johnson, Ronald" uniqKey="Johnson R" first="Ronald" last="Johnson">Ronald Johnson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="RBID">pubmed:17122987</idno><idno type="pmid">17122987</idno><idno type="doi">10.1245/s10434-006-9264-9</idno><idno type="wicri:Area/PubMed/Corpus">003819</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003819</idno><idno type="wicri:Area/PubMed/Curation">003819</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003819</idno><idno type="wicri:Area/PubMed/Checkpoint">003819</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003819</idno><idno type="wicri:Area/Ncbi/Merge">002492</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Is routine sentinel lymph node biopsy indicated in women undergoing contralateral prophylactic mastectomy? Magee-Womens Hospital experience.</title><author><name sortKey="Soran, Atilla" sort="Soran, Atilla" uniqKey="Soran A" first="Atilla" last="Soran">Atilla Soran</name><affiliation wicri:level="2"><nlm:affiliation>Department of Surgery, Magee-Womens Hospital of UPMC, 300 Halket St. Suite 2601, Pittsburgh, PA 15213, USA. asoran@magee.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Surgery, Magee-Womens Hospital of UPMC, 300 Halket St. Suite 2601, Pittsburgh, PA 15213</wicri:regionArea><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Falk, Jeffrey" sort="Falk, Jeffrey" uniqKey="Falk J" first="Jeffrey" last="Falk">Jeffrey Falk</name></author><author><name sortKey="Bonaventura, Marguerite" sort="Bonaventura, Marguerite" uniqKey="Bonaventura M" first="Marguerite" last="Bonaventura">Marguerite Bonaventura</name></author><author><name sortKey="Keenan, Donald" sort="Keenan, Donald" uniqKey="Keenan D" first="Donald" last="Keenan">Donald Keenan</name></author><author><name sortKey="Ahrendt, Gretchen" sort="Ahrendt, Gretchen" uniqKey="Ahrendt G" first="Gretchen" last="Ahrendt">Gretchen Ahrendt</name></author><author><name sortKey="Johnson, Ronald" sort="Johnson, Ronald" uniqKey="Johnson R" first="Ronald" last="Johnson">Ronald Johnson</name></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="ISSN">1068-9265</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Carcinoma, Ductal, Breast (pathology)</term><term>Carcinoma, Ductal, Breast (surgery)</term><term>Carcinoma, Lobular (pathology)</term><term>Carcinoma, Lobular (surgery)</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Carcinome canalaire du sein ()</term><term>Carcinome canalaire du sein (anatomopathologie)</term><term>Carcinome lobulaire ()</term><term>Carcinome lobulaire (anatomopathologie)</term><term>Femelle</term><term>Humains</term><term>Mastectomie</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Carcinome canalaire du sein</term><term>Carcinome lobulaire</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term><term>Carcinoma, Lobular</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term><term>Carcinoma, Lobular</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Mastectomy</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Carcinome canalaire du sein</term><term>Carcinome lobulaire</term><term>Femelle</term><term>Humains</term><term>Mastectomie</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The routine use of sentinel node biopsy (SLNB) at the time of prophylactic mastectomy remains controversial. This retrospective study was undertaken to determine if SLNB is justified in patients undergoing CPM.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17122987</PMID><DateCreated><Year>2007</Year><Month>01</Month><Day>25</Day></DateCreated><DateCompleted><Year>2007</Year><Month>04</Month><Day>12</Day></DateCompleted><DateRevised><Year>2007</Year><Month>07</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1068-9265</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><Issue>2</Issue><PubDate><Year>2007</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Annals of surgical oncology</Title><ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Is routine sentinel lymph node biopsy indicated in women undergoing contralateral prophylactic mastectomy? Magee-Womens Hospital experience.</ArticleTitle><Pagination><MedlinePgn>646-51</MedlinePgn></Pagination><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The routine use of sentinel node biopsy (SLNB) at the time of prophylactic mastectomy remains controversial. This retrospective study was undertaken to determine if SLNB is justified in patients undergoing CPM.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Between 1999 and 2004, 155 patients underwent contralateral prophylactic mastectomy (CPM) at the Magee-Womens Hospital of University of Pittsburgh Medical Center. Eighty patients (51.6%) had SLNB performed at the time of CPM. The therapeutic mastectomy and the CPM specimens were evaluated for histopathology. Goldflam's classification was used to determine the risk of malignancy in the CPM specimens.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Pathology in the therapeutic mastectomy specimens included 105 (68%) invasive carcinomas and 50 (32%) in-situ carcinomas. Multicentricity and/or multifocality were reported in 49.7%, and 70% were estrogen receptor positive. Two invasive breast cancers and three cases of DCIS were diagnosed in 155 CPM specimens (n = 5, 3.2%). The median number of SLN identified was 2 (range 1-6) from the CPM axilla. Two patients had positive SLNB for metastatic carcinoma (n = 2/80, 2.5%) with no primary tumor identified in the prophylactic mastectomy specimen. In both patients the therapeutic mastectomy was for recurrent invasive carcinoma in patients with a prior history of axillary node dissection. Occult carcinoma was found in five prophylactic mastectomy specimens: two invasive and three DCIS. Only 1 out of the 75 patients not undergoing SLNB at the time of their initial surgery would have required axillary staging for a previously undiagnosed invasive cancer in the CPM specimen on final pathology. Of all 155 patients undergoing CPM, only 4 (2.5%) had identified final pathologic findings where axillary staging with SLNB was beneficial. There was no evidence of arm lymphedema in any patient who had undergone CPM and SLNB at a median follow-up of 24 months.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Although SLNB is a minimally invasive method of axillary staging, this retrospective study does not support its routine use in patients undergoing CPM.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Soran</LastName><ForeName>Atilla</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Surgery, Magee-Womens Hospital of UPMC, 300 Halket St. Suite 2601, Pittsburgh, PA 15213, USA. asoran@magee.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Falk</LastName><ForeName>Jeffrey</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Bonaventura</LastName><ForeName>Marguerite</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Keenan</LastName><ForeName>Donald</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Ahrendt</LastName><ForeName>Gretchen</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Ronald</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>11</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg Oncol</MedlineTA><NlmUniqueID>9420840</NlmUniqueID><ISSNLinking>1068-9265</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018270" MajorTopicYN="N">Carcinoma, Ductal, Breast</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018275" MajorTopicYN="N">Carcinoma, Lobular</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="Y">Sentinel Lymph Node Biopsy</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>07</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>10</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2006</Year><Month>10</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>11</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>4</Month><Day>14</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>11</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">17122987</ArticleId><ArticleId IdType="doi">10.1245/s10434-006-9264-9</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Ahrendt, Gretchen" sort="Ahrendt, Gretchen" uniqKey="Ahrendt G" first="Gretchen" last="Ahrendt">Gretchen Ahrendt</name><name sortKey="Bonaventura, Marguerite" sort="Bonaventura, Marguerite" uniqKey="Bonaventura M" first="Marguerite" last="Bonaventura">Marguerite Bonaventura</name><name sortKey="Falk, Jeffrey" sort="Falk, Jeffrey" uniqKey="Falk J" first="Jeffrey" last="Falk">Jeffrey Falk</name><name sortKey="Johnson, Ronald" sort="Johnson, Ronald" uniqKey="Johnson R" first="Ronald" last="Johnson">Ronald Johnson</name><name sortKey="Keenan, Donald" sort="Keenan, Donald" uniqKey="Keenan D" first="Donald" last="Keenan">Donald Keenan</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Soran, Atilla" sort="Soran, Atilla" uniqKey="Soran A" first="Atilla" last="Soran">Atilla Soran</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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