LymphedemaV1, Ncbi, Merge, bibRecord, 008A06

Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? Five-Year Outcomes of the RACS Sentinel Node Biopsy Versus Axillary Clearance (SNAC) 1 Trial: Assessment and Incidence of True Lymphedema.

Identifieur interne : 008A06 ( Ncbi/Merge ); précédent : 008A05; suivant : 008A07

Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? Five-Year Outcomes of the RACS Sentinel Node Biopsy Versus Axillary Clearance (SNAC) 1 Trial: Assessment and Incidence of True Lymphedema.

Auteurs : Neil Wetzig [Australie] ; Peter Grantley Gill [Australie] ; David Espinoza [Australie] ; Rebecca Mister [Australie] ; Martin R. Stockler [Australie] ; Val J. Gebski [Australie] ; Owen A. Ung [Australie] ; Ian Campbell [Nouvelle-Zélande] ; John Simes [Australie]

Source :

Annals of surgical oncology [ 1534-4681 ] ; 2017.

RBID : pubmed:27848050

Abstract

To determine whether the benefits of sentinel-node-based management (SNBM) over routine axillary clearance (RAC) persisted to 5 years.

DOI: 10.1245/s10434-016-5669-2
PubMed: 27848050

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en">Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? Five-Year Outcomes of the RACS Sentinel Node Biopsy Versus Axillary Clearance (SNAC) 1 Trial: Assessment and Incidence of True Lymphedema.</title>
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<author><name sortKey="Ung, Owen A" sort="Ung, Owen A" uniqKey="Ung O" first="Owen A" last="Ung">Owen A. Ung</name>
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<wicri:noRegion>QLD</wicri:noRegion>
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<author><name sortKey="Campbell, Ian" sort="Campbell, Ian" uniqKey="Campbell I" first="Ian" last="Campbell">Ian Campbell</name>
<affiliation wicri:level="1"><nlm:affiliation>Waikato Hospital, Hamilton, New Zealand.</nlm:affiliation>
<country xml:lang="fr">Nouvelle-Zélande</country>
<wicri:regionArea>Waikato Hospital, Hamilton</wicri:regionArea>
<wicri:noRegion>Hamilton</wicri:noRegion>
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<author><name sortKey="Simes, John" sort="Simes, John" uniqKey="Simes J" first="John" last="Simes">John Simes</name>
<affiliation wicri:level="1"><nlm:affiliation>National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
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<series><title level="j">Annals of surgical oncology</title>
<idno type="eISSN">1534-4681</idno>
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<front><div type="abstract" xml:lang="en">To determine whether the benefits of sentinel-node-based management (SNBM) over routine axillary clearance (RAC) persisted to 5 years.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27848050</PMID>
<DateCreated><Year>2016</Year>
<Month>11</Month>
<Day>16</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>03</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>24</Volume>
<Issue>4</Issue>
<PubDate><Year>2017</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Annals of surgical oncology</Title>
<ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? Five-Year Outcomes of the RACS Sentinel Node Biopsy Versus Axillary Clearance (SNAC) 1 Trial: Assessment and Incidence of True Lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>1064-1070</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-016-5669-2</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To determine whether the benefits of sentinel-node-based management (SNBM) over routine axillary clearance (RAC) persisted to 5 years.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 1088 women with breast cancer less than 3 cm in diameter and clinically negative axillary nodes were randomized to SNBM with axillary clearance if the sentinel node was positive or RAC preceded by sentinel-node biopsy. The outcomes were: (1) objectively measured change in the volume of the operated and contralateral nonoperated arms; (2) the proportion with an increase in arm volume <15%; and (3) subjectively assessed arm morbidity for the domains swelling, symptoms, dysfunction, and disability. Assessments were performed at 1 and 6 months after surgery and then annually.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Limb volume increased progressively in the operated and nonoperated arms for 2 years and persisted unchanged to year 5, accompanied by weight gain. Correction by change in the nonoperated arm showed a mean volume increase of 70 mL in the RAC group and 26 mL in the SNBM group (P < 0.001) at 5 years. Only 28 patients (3.3%) had a corrected increase >15% from baseline (RAC 5.0% vs. SNBM 1.7%). Significant predictors were surgery type (RAC vs. SNBM), obesity, diabetes, palpable tumor, and weight gain exceeding 10% of baseline value.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Subjective assessments revealed persisting patient concerns about swelling and symptoms but not overall disability at 5 years. Subjective scores were only moderately correlated with volume increase. SNAC1 has demonstrated that objective morbidity and subjective morbidity persist for 5 years after surgery and that SNBM significantly lowers the risk of both.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wetzig</LastName>
<ForeName>Neil</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Wesley Medical Centre, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Gill</LastName>
<ForeName>Peter Grantley</ForeName>
<Initials>PG</Initials>
<AffiliationInfo><Affiliation>Breast, Endocrine & Surgical Oncology Unit, Royal Adelaide Hospital, Adelaide, SA, Australia. grantley.gill@adelaide.edu.au.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Surgery, University of Adelaide, Adelaide, SA, Australia. grantley.gill@adelaide.edu.au.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Espinoza</LastName>
<ForeName>David</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Mister</LastName>
<ForeName>Rebecca</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stockler</LastName>
<ForeName>Martin R</ForeName>
<Initials>MR</Initials>
<AffiliationInfo><Affiliation>National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Sydney Cancer Centre, Royal Prince Alfred and Concord Hospitals, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gebski</LastName>
<ForeName>Val J</ForeName>
<Initials>VJ</Initials>
<AffiliationInfo><Affiliation>National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ung</LastName>
<ForeName>Owen A</ForeName>
<Initials>OA</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, University of Queensland, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre for Breast Health, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Campbell</LastName>
<ForeName>Ian</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Waikato Hospital, Hamilton, New Zealand.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Simes</LastName>
<ForeName>John</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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</PublicationTypeList>
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<Month>11</Month>
<Day>15</Day>
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<MedlineTA>Ann Surg Oncol</MedlineTA>
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<name sortKey="Gebski, Val J" sort="Gebski, Val J" uniqKey="Gebski V" first="Val J" last="Gebski">Val J. Gebski</name>
<name sortKey="Gill, Peter Grantley" sort="Gill, Peter Grantley" uniqKey="Gill P" first="Peter Grantley" last="Gill">Peter Grantley Gill</name>
<name sortKey="Mister, Rebecca" sort="Mister, Rebecca" uniqKey="Mister R" first="Rebecca" last="Mister">Rebecca Mister</name>
<name sortKey="Simes, John" sort="Simes, John" uniqKey="Simes J" first="John" last="Simes">John Simes</name>
<name sortKey="Stockler, Martin R" sort="Stockler, Martin R" uniqKey="Stockler M" first="Martin R" last="Stockler">Martin R. Stockler</name>
<name sortKey="Ung, Owen A" sort="Ung, Owen A" uniqKey="Ung O" first="Owen A" last="Ung">Owen A. Ung</name>
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Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? Five-Year Outcomes of the RACS Sentinel Node Biopsy Versus Axillary Clearance (SNAC) 1 Trial: Assessment and Incidence of True Lymphedema.

Sentinel-Lymph-Node-Based Management or Routine Axillary Clearance? Five-Year Outcomes of the RACS Sentinel Node Biopsy Versus Axillary Clearance (SNAC) 1 Trial: Assessment and Incidence of True Lymphedema.

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Abstract

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Pour générer des pages wiki