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Distribution of axillary lymph node metastases in different levels and groups in breast cancer, a pathological study.

Identifieur interne : 002378 ( PubMed/Corpus ); précédent : 002377; suivant : 002379

Distribution of axillary lymph node metastases in different levels and groups in breast cancer, a pathological study.

Auteurs : Medhat Khafagy ; Ahmed Mostafa ; Ibrahim Fakhr

Source :

RBID : pubmed:22099933

English descriptors

Abstract

It was observed during dissection of heavy deposits of axillary lymph nodes (LNs) in breast cancer that there were grossly positive LNs outside the confines of classical axillary dissection.

DOI: 10.1016/j.jnci.2011.07.004
PubMed: 22099933

Links to Exploration step

pubmed:22099933

Le document en format XML

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<title xml:lang="en">Distribution of axillary lymph node metastases in different levels and groups in breast cancer, a pathological study.</title>
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<name sortKey="Khafagy, Medhat" sort="Khafagy, Medhat" uniqKey="Khafagy M" first="Medhat" last="Khafagy">Medhat Khafagy</name>
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<nlm:affiliation>Department of Surgical Oncology, National Cancer Institute (NCI), Cairo University, Cairo, Egypt.</nlm:affiliation>
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<name sortKey="Mostafa, Ahmed" sort="Mostafa, Ahmed" uniqKey="Mostafa A" first="Ahmed" last="Mostafa">Ahmed Mostafa</name>
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<name sortKey="Fakhr, Ibrahim" sort="Fakhr, Ibrahim" uniqKey="Fakhr I" first="Ibrahim" last="Fakhr">Ibrahim Fakhr</name>
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<title xml:lang="en">Distribution of axillary lymph node metastases in different levels and groups in breast cancer, a pathological study.</title>
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<name sortKey="Khafagy, Medhat" sort="Khafagy, Medhat" uniqKey="Khafagy M" first="Medhat" last="Khafagy">Medhat Khafagy</name>
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<nlm:affiliation>Department of Surgical Oncology, National Cancer Institute (NCI), Cairo University, Cairo, Egypt.</nlm:affiliation>
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<name sortKey="Mostafa, Ahmed" sort="Mostafa, Ahmed" uniqKey="Mostafa A" first="Ahmed" last="Mostafa">Ahmed Mostafa</name>
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<name sortKey="Fakhr, Ibrahim" sort="Fakhr, Ibrahim" uniqKey="Fakhr I" first="Ibrahim" last="Fakhr">Ibrahim Fakhr</name>
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<title level="j">Journal of the Egyptian National Cancer Institute</title>
<idno type="ISSN">1110-0362</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Ductal, Breast (secondary)</term>
<term>Carcinoma, Ductal, Breast (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphatic Metastasis</term>
<term>Mastectomy, Modified Radical</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Pectoralis Muscles (pathology)</term>
<term>Pectoralis Muscles (surgery)</term>
<term>Prospective Studies</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
<term>Pectoralis Muscles</term>
</keywords>
<keywords scheme="MESH" qualifier="secondary" xml:lang="en">
<term>Carcinoma, Ductal, Breast</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Lymph Nodes</term>
<term>Pectoralis Muscles</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Mastectomy, Modified Radical</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Young Adult</term>
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<front>
<div type="abstract" xml:lang="en">It was observed during dissection of heavy deposits of axillary lymph nodes (LNs) in breast cancer that there were grossly positive LNs outside the confines of classical axillary dissection.</div>
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<DateCreated>
<Year>2011</Year>
<Month>11</Month>
<Day>21</Day>
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<DateCompleted>
<Year>2013</Year>
<Month>09</Month>
<Day>05</Day>
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<Year>2011</Year>
<Month>11</Month>
<Day>21</Day>
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<ISSN IssnType="Print">1110-0362</ISSN>
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<Volume>23</Volume>
<Issue>1</Issue>
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<Year>2011</Year>
<Month>Mar</Month>
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<Title>Journal of the Egyptian National Cancer Institute</Title>
<ISOAbbreviation>J Egypt Natl Canc Inst</ISOAbbreviation>
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<ArticleTitle>Distribution of axillary lymph node metastases in different levels and groups in breast cancer, a pathological study.</ArticleTitle>
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<MedlinePgn>25-30</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jnci.2011.07.004</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">It was observed during dissection of heavy deposits of axillary lymph nodes (LNs) in breast cancer that there were grossly positive LNs outside the confines of classical axillary dissection.</AbstractText>
<AbstractText Label="AIM OF STUDY" NlmCategory="OBJECTIVE">To know the extent of LN metastases in these new basins by dissecting and labeling them separately, for pathological examination and proper staging of those patients.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">From 2005 to 2009, 59 private patients with breast cancer who had positive axillary LNs were subjected to axillary dissection with accurate leveling according to its relation to pectoralis minor. In addition to the classical three levels, the brachial, thoracoacromial, humeral, scapular and Rotter's lymph nodes were dissected.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Levels I, II and III axillary LNs were involved in 91.5%, 62.7%, and 52.5%, respectively. Skip metastases (without the involvement of level one) were found in 5/59 patients (8.4%). Brachial, acromiothoracic, humeral and Rotter's LNs were involved in 10.1%, 15.2%, 5% and 1.7%, respectively, with no metastatic deposits encountered in scapular LNs. In our patients, lymphedema of the ipsilateral upper limb was nearly of the same incidence as after classical axillary dissection.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In addition to the classic complete axillary lymph node dissection (ALND) indicated in patients with breast cancer with axillary LNs metastases, dissection of the brachial, acromiothoracic, humeral, Rotter's and scapular LNs, is recommended for proper staging.</AbstractText>
<CopyrightInformation>Copyright © 2011. Published by Elsevier B.V.</CopyrightInformation>
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<Language>eng</Language>
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