Treatment plan for breast cancer with sentinel node metastasis
Identifieur interne : 001659 ( Pmc/Checkpoint ); précédent : 001658; suivant : 001660Treatment plan for breast cancer with sentinel node metastasis
Auteurs : Efrén Bolívar Abreu ; Pedro Martinez ; Luis Betancourt ; Gabriel Romero ; Ali Godoy ; Laura BergamoSource :
- ecancermedicalscience [ 1754-6605 ] ; 2014.
Abstract
Lymph node involvement is considered to be one of the most important independent prognostic factors in breast cancer. In patients without palpable lymphadenopathies, the method of choice for determining this involvement is the sentinel lymph node biopsy. In the presence of macrometastases, the current standard is to perform axillary lymph node dissection in spite of the knowledge that the involvement of non-sentinel lymph nodes is approximately 50%. When lymph node involvement is micrometastasic, the decision as to whether or not to proceed with lymphadenectomy remains in dispute. We set out, on the basis of the current scientific evidence and our own experience, to create guidelines that allow us to individualise each case and decide whether or not to perform a lymphadenectomy. We will discuss the arguments that support our position.
Url:
DOI: 10.3332/ecancer.2014.383
PubMed: 24478806
PubMed Central: 3892908
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In patients without palpable lymphadenopathies, the method of choice for determining this involvement is the sentinel lymph node biopsy. In the presence of macrometastases, the current standard is to perform axillary lymph node dissection in spite of the knowledge that the involvement of non-sentinel lymph nodes is approximately 50%. When lymph node involvement is micrometastasic, the decision as to whether or not to proceed with lymphadenectomy remains in dispute. We set out, on the basis of the current scientific evidence and our own experience, to create guidelines that allow us to individualise each case and decide whether or not to perform a lymphadenectomy. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Ecancermedicalscience</journal-id><journal-id journal-id-type="iso-abbrev">Ecancermedicalscience</journal-id><journal-id journal-id-type="publisher-id">ecancermedicalscience</journal-id><journal-title-group><journal-title>ecancermedicalscience</journal-title></journal-title-group><issn pub-type="epub">1754-6605</issn><publisher><publisher-name>Cancer Intelligence</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24478806</article-id><article-id pub-id-type="pmc">3892908</article-id><article-id pub-id-type="doi">10.3332/ecancer.2014.383</article-id><article-id pub-id-type="publisher-id">can-8-383</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group></article-categories><title-group><article-title>Treatment plan for breast cancer with sentinel node metastasis</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Abreu</surname><given-names>Efrén Bolívar</given-names></name></contrib><contrib contrib-type="author"><name><surname>Martinez</surname><given-names>Pedro</given-names></name></contrib><contrib contrib-type="author"><name><surname>Betancourt</surname><given-names>Luis</given-names></name></contrib><contrib contrib-type="author"><name><surname>Romero</surname><given-names>Gabriel</given-names></name></contrib><contrib contrib-type="author"><name><surname>Godoy</surname><given-names>Ali</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bergamo</surname><given-names>Laura</given-names></name></contrib><aff id="aff">Breast Pathology Department, Dr Luis Razetti Oncology Institute, Caracas, Venezuela</aff></contrib-group><author-notes><corresp id="c1-can-8-383"><bold>Correspondence to:</bold> Efrén Bolívar Abreu. <email>bolivarefren@yahoo.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>08</day><month>1</month><year>2014</year></pub-date><volume>8</volume><elocation-id>383</elocation-id><history><date date-type="received"><day>19</day><month>9</month><year>2013</year></date></history><permissions><copyright-statement>© the authors; licensee ecancermedicalscience.</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0"><license-p><pmc-comment>CREATIVE COMMONS</pmc-comment>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0">http://creativecommons.org/licenses/by/3.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Lymph node involvement is considered to be one of the most important independent prognostic factors in breast cancer. In patients without palpable lymphadenopathies, the method of choice for determining this involvement is the sentinel lymph node biopsy. In the presence of macrometastases, the current standard is to perform axillary lymph node dissection in spite of the knowledge that the involvement of non-sentinel lymph nodes is approximately 50%. When lymph node involvement is micrometastasic, the decision as to whether or not to proceed with lymphadenectomy remains in dispute. We set out, on the basis of the current scientific evidence and our own experience, to create guidelines that allow us to individualise each case and decide whether or not to perform a lymphadenectomy. We will discuss the arguments that support our position.</p></abstract><kwd-group><kwd>breast cancer</kwd><kwd>sentinel node</kwd><kwd>macrometastases</kwd><kwd>micrometastases</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Abreu, Efren Bolivar" sort="Abreu, Efren Bolivar" uniqKey="Abreu E" first="Efrén Bolívar" last="Abreu">Efrén Bolívar Abreu</name><name sortKey="Bergamo, Laura" sort="Bergamo, Laura" uniqKey="Bergamo L" first="Laura" last="Bergamo">Laura Bergamo</name><name sortKey="Betancourt, Luis" sort="Betancourt, Luis" uniqKey="Betancourt L" first="Luis" last="Betancourt">Luis Betancourt</name><name sortKey="Godoy, Ali" sort="Godoy, Ali" uniqKey="Godoy A" first="Ali" last="Godoy">Ali Godoy</name><name sortKey="Martinez, Pedro" sort="Martinez, Pedro" uniqKey="Martinez P" first="Pedro" last="Martinez">Pedro Martinez</name><name sortKey="Romero, Gabriel" sort="Romero, Gabriel" uniqKey="Romero G" first="Gabriel" last="Romero">Gabriel Romero</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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