Selective axillary node sampling and radiotherapy to the axilla in the management of breast cancer.
Identifieur interne : 002E60 ( PubMed/Checkpoint ); précédent : 002E59; suivant : 002E61Selective axillary node sampling and radiotherapy to the axilla in the management of breast cancer.
Auteurs : J S Tanguay [Royaume-Uni] ; D R Ford ; G. Sadler ; L. Buckley ; H. Uppal ; J. Cross ; N. Holmes ; K. Fortes Mayer ; I. FernandoSource :
- Clinical oncology (Royal College of Radiologists (Great Britain)) [ 0936-6555 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Noeuds lymphatiques, Tumeurs du sein.
- radiothérapie : Tumeurs du sein.
- Aisselle, Biopsie de noeud lymphatique sentinelle, Femelle, Humains, Noeuds lymphatiques, Soins postopératoires, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- methods : Sentinel Lymph Node Biopsy.
- pathology : Breast Neoplasms, Lymph Nodes.
- radiotherapy : Breast Neoplasms.
- surgery : Breast Neoplasms, Lymph Nodes.
- Axilla, Female, Humans, Postoperative Care, Retrospective Studies.
Abstract
Axillary treatment for patients with early-stage breast cancer can be associated with considerable morbidity. Techniques, such as axillary node sampling (ANS) and, more recently, sentinel node biopsy, in combination with radiotherapy have the potential to reduce toxicity. A retrospective review of axillary treatment in patients with early-stage breast cancer treated at our institution between 1997 and 2003 was carried out to assess the outcome and morbidity of ANS in combination with radiotherapy.
DOI: 10.1016/j.clon.2008.06.006
PubMed: 18722758
Affiliations:
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Sadler</name></author><author><name sortKey="Buckley, L" sort="Buckley, L" uniqKey="Buckley L" first="L" last="Buckley">L. Buckley</name></author><author><name sortKey="Uppal, H" sort="Uppal, H" uniqKey="Uppal H" first="H" last="Uppal">H. Uppal</name></author><author><name sortKey="Cross, J" sort="Cross, J" uniqKey="Cross J" first="J" last="Cross">J. Cross</name></author><author><name sortKey="Holmes, N" sort="Holmes, N" uniqKey="Holmes N" first="N" last="Holmes">N. Holmes</name></author><author><name sortKey="Fortes Mayer, K" sort="Fortes Mayer, K" uniqKey="Fortes Mayer K" first="K" last="Fortes Mayer">K. Fortes Mayer</name></author><author><name sortKey="Fernando, I" sort="Fernando, I" uniqKey="Fernando I" first="I" last="Fernando">I. Fernando</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18722758</idno><idno type="pmid">18722758</idno><idno type="doi">10.1016/j.clon.2008.06.006</idno><idno type="wicri:Area/PubMed/Corpus">003162</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003162</idno><idno type="wicri:Area/PubMed/Curation">003162</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003162</idno><idno type="wicri:Area/PubMed/Checkpoint">003162</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003162</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Selective axillary node sampling and radiotherapy to the axilla in the management of breast cancer.</title><author><name sortKey="Tanguay, J S" sort="Tanguay, J S" uniqKey="Tanguay J" first="J S" last="Tanguay">J S Tanguay</name><affiliation wicri:level="3"><nlm:affiliation>University Hospital Birmingham, Birmingham, UK. jaketanguay@aol.com</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University Hospital Birmingham, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Ford, D R" sort="Ford, D R" uniqKey="Ford D" first="D R" last="Ford">D R Ford</name></author><author><name sortKey="Sadler, G" sort="Sadler, G" uniqKey="Sadler G" first="G" last="Sadler">G. Sadler</name></author><author><name sortKey="Buckley, L" sort="Buckley, L" uniqKey="Buckley L" first="L" last="Buckley">L. Buckley</name></author><author><name sortKey="Uppal, H" sort="Uppal, H" uniqKey="Uppal H" first="H" last="Uppal">H. Uppal</name></author><author><name sortKey="Cross, J" sort="Cross, J" uniqKey="Cross J" first="J" last="Cross">J. Cross</name></author><author><name sortKey="Holmes, N" sort="Holmes, N" uniqKey="Holmes N" first="N" last="Holmes">N. Holmes</name></author><author><name sortKey="Fortes Mayer, K" sort="Fortes Mayer, K" uniqKey="Fortes Mayer K" first="K" last="Fortes Mayer">K. Fortes Mayer</name></author><author><name sortKey="Fernando, I" sort="Fernando, I" uniqKey="Fernando I" first="I" last="Fernando">I. Fernando</name></author></analytic><series><title level="j">Clinical oncology (Royal College of Radiologists (Great Britain))</title><idno type="ISSN">0936-6555</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (radiotherapy)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymph Nodes (pathology)</term><term>Lymph Nodes (surgery)</term><term>Postoperative Care</term><term>Retrospective Studies</term><term>Sentinel Lymph Node Biopsy (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle ()</term><term>Femelle</term><term>Humains</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (anatomopathologie)</term><term>Soins postopératoires</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (radiothérapie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Axilla</term><term>Female</term><term>Humans</term><term>Postoperative Care</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle</term><term>Femelle</term><term>Humains</term><term>Noeuds lymphatiques</term><term>Soins postopératoires</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Axillary treatment for patients with early-stage breast cancer can be associated with considerable morbidity. Techniques, such as axillary node sampling (ANS) and, more recently, sentinel node biopsy, in combination with radiotherapy have the potential to reduce toxicity. A retrospective review of axillary treatment in patients with early-stage breast cancer treated at our institution between 1997 and 2003 was carried out to assess the outcome and morbidity of ANS in combination with radiotherapy.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18722758</PMID><DateCreated><Year>2008</Year><Month>10</Month><Day>06</Day></DateCreated><DateCompleted><Year>2009</Year><Month>01</Month><Day>15</Day></DateCompleted><DateRevised><Year>2008</Year><Month>10</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0936-6555</ISSN><JournalIssue CitedMedium="Print"><Volume>20</Volume><Issue>9</Issue><PubDate><Year>2008</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Clinical oncology (Royal College of Radiologists (Great Britain))</Title><ISOAbbreviation>Clin Oncol (R Coll Radiol)</ISOAbbreviation></Journal><ArticleTitle>Selective axillary node sampling and radiotherapy to the axilla in the management of breast cancer.</ArticleTitle><Pagination><MedlinePgn>677-82</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.clon.2008.06.006</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Axillary treatment for patients with early-stage breast cancer can be associated with considerable morbidity. Techniques, such as axillary node sampling (ANS) and, more recently, sentinel node biopsy, in combination with radiotherapy have the potential to reduce toxicity. A retrospective review of axillary treatment in patients with early-stage breast cancer treated at our institution between 1997 and 2003 was carried out to assess the outcome and morbidity of ANS in combination with radiotherapy.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The treatment policy was to carry out four-node, Edinburgh-style ANS except in those cases with either palpably enlarged nodes or cytological confirmation of involvement or with clinically obvious node involvement at surgery when level 2 axillary node clearance (ANC) was carried out. Patients with involved nodes after ANS received postoperative axillary radiotherapy.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In total, 381 patients were included, 331 received ANS and 50 received ANC. The median follow-up was 6.5 years and overall survival at 5 years was 84%. Pathologically involved nodes were found in 152/331 (50%) ANS patients and 43/50 (86%) ANC patients. The rate of local recurrence (breast or chest wall) at 5 years was 4% (95% confidence interval 1-17%) in the ANC group and 2% (95% confidence interval 1-4%) in the ANS group. The nodal recurrence rate of those undergoing ANS was 3% (11/331) compared with 6% (3/50) for those treated by ANC. The rate of clinically significant lymphoedema at 5 years was significantly higher (P=0.01) in the ANC arm: 18% (95% confidence interval 9-32%) compared with 5% (95% confidence interval 3-8%) in those treated by ANS. Thirty-one cases received additional supraclavicular fossa irradiation because of the involvement of more than four nodes on ANS, which may not have been available with sentinel node biopsy and has implications for current practice.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Selective ANS with the removal of a minimum of four nodes guides optimal locoregional treatment with good local control rates, low overall morbidity and may obviate the need for a second surgical procedure.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tanguay</LastName><ForeName>J S</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>University Hospital Birmingham, Birmingham, UK. jaketanguay@aol.com</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ford</LastName><ForeName>D R</ForeName><Initials>DR</Initials></Author><Author ValidYN="Y"><LastName>Sadler</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Buckley</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Uppal</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Cross</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Holmes</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Fortes Mayer</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Fernando</LastName><ForeName>I</ForeName><Initials>I</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2008</Year><Month>08</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Clin Oncol (R Coll Radiol)</MedlineTA><NlmUniqueID>9002902</NlmUniqueID><ISSNLinking>0936-6555</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2008</Year><Month>03</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2008</Year><Month>06</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2008</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>8</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>1</Month><Day>16</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>8</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18722758</ArticleId><ArticleId IdType="pii">S0936-6555(08)00281-1</ArticleId><ArticleId IdType="doi">10.1016/j.clon.2008.06.006</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Midlands de l'Ouest</li></region><settlement><li>Birmingham</li></settlement></list><tree><noCountry><name sortKey="Buckley, L" sort="Buckley, L" uniqKey="Buckley L" first="L" last="Buckley">L. Buckley</name><name sortKey="Cross, J" sort="Cross, J" uniqKey="Cross J" first="J" last="Cross">J. Cross</name><name sortKey="Fernando, I" sort="Fernando, I" uniqKey="Fernando I" first="I" last="Fernando">I. Fernando</name><name sortKey="Ford, D R" sort="Ford, D R" uniqKey="Ford D" first="D R" last="Ford">D R Ford</name><name sortKey="Fortes Mayer, K" sort="Fortes Mayer, K" uniqKey="Fortes Mayer K" first="K" last="Fortes Mayer">K. Fortes Mayer</name><name sortKey="Holmes, N" sort="Holmes, N" uniqKey="Holmes N" first="N" last="Holmes">N. Holmes</name><name sortKey="Sadler, G" sort="Sadler, G" uniqKey="Sadler G" first="G" last="Sadler">G. Sadler</name><name sortKey="Uppal, H" sort="Uppal, H" uniqKey="Uppal H" first="H" last="Uppal">H. Uppal</name></noCountry><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Tanguay, J S" sort="Tanguay, J S" uniqKey="Tanguay J" first="J S" last="Tanguay">J S Tanguay</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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