Impact of immediate versus delayed axillary node dissection on surgical outcomes in breast cancer patients with positive sentinel nodes: results from American College of Surgeons Oncology Group Trials Z0010 and Z0011.
Identifieur interne : 003192 ( PubMed/Corpus ); précédent : 003191; suivant : 003193Impact of immediate versus delayed axillary node dissection on surgical outcomes in breast cancer patients with positive sentinel nodes: results from American College of Surgeons Oncology Group Trials Z0010 and Z0011.
Auteurs : John A. Olson ; Linda M. Mccall ; Peter Beitsch ; Pat W. Whitworth ; Douglas S. Reintgen ; Peter W. Blumencranz ; A Marilyn Leitch ; Sukamal Saha ; Kelly K. Hunt ; Armando E. GiulianoSource :
- Journal of clinical oncology : official journal of the American Society of Clinical Oncology [ 1527-7755 ] ; 2008.
English descriptors
- KwdEn :
- Arm (pathology), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Clinical Trials as Topic, Female, Humans, Lymph Node Excision (adverse effects), Lymphedema (etiology), Paresthesia (etiology), Range of Motion, Articular, Sentinel Lymph Node Biopsy (adverse effects), Seroma (etiology), Time.
- MESH :
- adverse effects : Lymph Node Excision, Sentinel Lymph Node Biopsy.
- etiology : Lymphedema, Paresthesia, Seroma.
- pathology : Arm, Breast Neoplasms.
- surgery : Breast Neoplasms.
- Clinical Trials as Topic, Female, Humans, Range of Motion, Articular, Time.
Abstract
Patients with breast cancer metastasis to the sentinel lymph nodes (SLNs) generally undergo completion axillary lymph node dissection (cALND), either concurrently with SLN biopsy or at a second procedure. The impact of the timing of cALND on pathologic results and complications in these patients has not been examined.
DOI: 10.1200/JCO.2007.15.5630
PubMed: 18640934
Links to Exploration step
pubmed:18640934Le document en format XML
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<author><name sortKey="Olson, John A" sort="Olson, John A" uniqKey="Olson J" first="John A" last="Olson">John A. Olson</name>
<affiliation><nlm:affiliation>Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA. jaomd@duke.edu</nlm:affiliation>
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<author><name sortKey="Mccall, Linda M" sort="Mccall, Linda M" uniqKey="Mccall L" first="Linda M" last="Mccall">Linda M. Mccall</name>
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<author><name sortKey="Beitsch, Peter" sort="Beitsch, Peter" uniqKey="Beitsch P" first="Peter" last="Beitsch">Peter Beitsch</name>
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<author><name sortKey="Whitworth, Pat W" sort="Whitworth, Pat W" uniqKey="Whitworth P" first="Pat W" last="Whitworth">Pat W. Whitworth</name>
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<author><name sortKey="Leitch, A Marilyn" sort="Leitch, A Marilyn" uniqKey="Leitch A" first="A Marilyn" last="Leitch">A Marilyn Leitch</name>
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<author><name sortKey="Saha, Sukamal" sort="Saha, Sukamal" uniqKey="Saha S" first="Sukamal" last="Saha">Sukamal Saha</name>
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<author><name sortKey="Hunt, Kelly K" sort="Hunt, Kelly K" uniqKey="Hunt K" first="Kelly K" last="Hunt">Kelly K. Hunt</name>
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<author><name sortKey="Giuliano, Armando E" sort="Giuliano, Armando E" uniqKey="Giuliano A" first="Armando E" last="Giuliano">Armando E. Giuliano</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Impact of immediate versus delayed axillary node dissection on surgical outcomes in breast cancer patients with positive sentinel nodes: results from American College of Surgeons Oncology Group Trials Z0010 and Z0011.</title>
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<author><name sortKey="Mccall, Linda M" sort="Mccall, Linda M" uniqKey="Mccall L" first="Linda M" last="Mccall">Linda M. Mccall</name>
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<author><name sortKey="Reintgen, Douglas S" sort="Reintgen, Douglas S" uniqKey="Reintgen D" first="Douglas S" last="Reintgen">Douglas S. Reintgen</name>
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<author><name sortKey="Blumencranz, Peter W" sort="Blumencranz, Peter W" uniqKey="Blumencranz P" first="Peter W" last="Blumencranz">Peter W. Blumencranz</name>
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<author><name sortKey="Leitch, A Marilyn" sort="Leitch, A Marilyn" uniqKey="Leitch A" first="A Marilyn" last="Leitch">A Marilyn Leitch</name>
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<series><title level="j">Journal of clinical oncology : official journal of the American Society of Clinical Oncology</title>
<idno type="eISSN">1527-7755</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (pathology)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Clinical Trials as Topic</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphedema (etiology)</term>
<term>Paresthesia (etiology)</term>
<term>Range of Motion, Articular</term>
<term>Sentinel Lymph Node Biopsy (adverse effects)</term>
<term>Seroma (etiology)</term>
<term>Time</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
<term>Sentinel Lymph Node Biopsy</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Paresthesia</term>
<term>Seroma</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term>
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Clinical Trials as Topic</term>
<term>Female</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Patients with breast cancer metastasis to the sentinel lymph nodes (SLNs) generally undergo completion axillary lymph node dissection (cALND), either concurrently with SLN biopsy or at a second procedure. The impact of the timing of cALND on pathologic results and complications in these patients has not been examined.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18640934</PMID>
<DateCreated><Year>2008</Year>
<Month>07</Month>
<Day>21</Day>
</DateCreated>
<DateCompleted><Year>2008</Year>
<Month>08</Month>
<Day>12</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>10</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1527-7755</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>26</Volume>
<Issue>21</Issue>
<PubDate><Year>2008</Year>
<Month>Jul</Month>
<Day>20</Day>
</PubDate>
</JournalIssue>
<Title>Journal of clinical oncology : official journal of the American Society of Clinical Oncology</Title>
<ISOAbbreviation>J. Clin. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Impact of immediate versus delayed axillary node dissection on surgical outcomes in breast cancer patients with positive sentinel nodes: results from American College of Surgeons Oncology Group Trials Z0010 and Z0011.</ArticleTitle>
<Pagination><MedlinePgn>3530-5</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1200/JCO.2007.15.5630</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Patients with breast cancer metastasis to the sentinel lymph nodes (SLNs) generally undergo completion axillary lymph node dissection (cALND), either concurrently with SLN biopsy or at a second procedure. The impact of the timing of cALND on pathologic results and complications in these patients has not been examined.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">We examined outcomes from SLN-positive patients in American College of Surgeons Oncology Group (ACOSOG) trials Z0010 and Z0011. Pathologic data examined included primary tumor characteristics, total number of SLNs recovered, positive SLN(s) and non-SLN(s) identified. Complications assessed included axillary seroma, paresthesia, arm morbidity and range of motion, and lymphedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 1,003 assessable patients with SLN metastasis had immediate (n = 425) or delayed (n = 578) cALND. The median number of SLNs and axillary LNs removed were the same between groups. Patients who had immediate cALND more often had larger tumors, SLN metastasis identified intraoperatively, two or more positive SLNs, and higher pathologic N stage. Axillary paresthesia, seroma, and impaired extremity range of motion were more common in the immediate group during the early postoperative period, but not at later time points. There was no difference in lymphedema at any time point.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In ACOSOG trials Z0010 and Z0011, LN recovery and long-term complications were similar after either delayed or immediate cALND for patients with metastasis to SLNs. Patients who undergo immediate cALND experience more short-term morbidity. With respect to staging and complications, there is no clear detriment for patients with a positive SLN who undergo a second procedure for cALND.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Olson</LastName>
<ForeName>John A</ForeName>
<Initials>JA</Initials>
<Suffix>Jr</Suffix>
<AffiliationInfo><Affiliation>Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA. jaomd@duke.edu</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>McCall</LastName>
<ForeName>Linda M</ForeName>
<Initials>LM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Beitsch</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
</Author>
<Author ValidYN="Y"><LastName>Whitworth</LastName>
<ForeName>Pat W</ForeName>
<Initials>PW</Initials>
</Author>
<Author ValidYN="Y"><LastName>Reintgen</LastName>
<ForeName>Douglas S</ForeName>
<Initials>DS</Initials>
</Author>
<Author ValidYN="Y"><LastName>Blumencranz</LastName>
<ForeName>Peter W</ForeName>
<Initials>PW</Initials>
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<Author ValidYN="Y"><LastName>Leitch</LastName>
<ForeName>A Marilyn</ForeName>
<Initials>AM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Saha</LastName>
<ForeName>Sukamal</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hunt</LastName>
<ForeName>Kelly K</ForeName>
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<Author ValidYN="Y"><LastName>Giuliano</LastName>
<ForeName>Armando E</ForeName>
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<Author ValidYN="Y"><CollectiveName>American College of Surgeons Oncology Group Trials Z0010 and Z0011</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>P30 CA016672</GrantID>
<Acronym>CA</Acronym>
<Agency>NCI NIH HHS</Agency>
<Country>United States</Country>
</Grant>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Clin Oncol. 2008 Jul 20;26(21):3483-4</RefSource>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
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<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010292" MajorTopicYN="N">Paresthesia</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016059" MajorTopicYN="N">Range of Motion, Articular</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D021701" MajorTopicYN="Y">Sentinel Lymph Node Biopsy</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D049291" MajorTopicYN="N">Seroma</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013995" MajorTopicYN="N">Time</DescriptorName>
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