[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].
Identifieur interne : 005C10 ( PubMed/Corpus ); précédent : 005C09; suivant : 005C11[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].
Auteurs : P. Dufour ; J C Laurent ; G. Depadt ; A. DemailleSource :
- Journal de gynecologie, obstetrique et biologie de la reproduction [ 0368-2315 ] ; 1991.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Axilla, Breast Neoplasms (mortality), Breast Neoplasms (secondary), Breast Neoplasms (surgery), Clinical Protocols (standards), Follow-Up Studies, Humans, Length of Stay (statistics & numerical data), Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymph Node Excision (standards), Lymphatic Metastasis (pathology), Middle Aged, Neoplasm Staging, Postoperative Complications (epidemiology), Survival Rate.
- MESH :
- adverse effects : Lymph Node Excision.
- epidemiology : Postoperative Complications.
- methods : Lymph Node Excision.
- mortality : Breast Neoplasms.
- pathology : Lymphatic Metastasis.
- secondary : Breast Neoplasms.
- standards : Clinical Protocols, Lymph Node Excision.
- statistics & numerical data : Length of Stay.
- surgery : Breast Neoplasms.
- Adult, Aged, Aged, 80 and over, Axilla, Follow-Up Studies, Humans, Middle Aged, Neoplasm Staging, Survival Rate.
Abstract
895 axillary clearances were carried out in 3 years between 1986 and 1988 on 878 patients with primary breast cancer. Two procedures were used: either direct total axillary clearance (in stages 1, 2 and 3 of Berg) or inferior axillary clearance (stages 1 and 2 of Berg). This was carried out in association with frozen section diagnosis of the lymph node followed by clearance in Berg stage 3 if the diagnosis on frozen section was positive. The authors found a higher frequency of late complications, particularly of arm lymphoedema in patients who had complete axillary clearance than in patients who only had an inferior axillary clearance. The survival rate actuarilly calculated was not significantly different in the two groups of patients. The carrying out of total axillary clearance was "beneficial" for only 3 patients who had negative inferior axillary clearance and positive sub-clavicular clearance. Finally the frozen section diagnosis of the state of the axillary nodes shown to be correct (specificity -99% and sensitivity -76%) but it was difficult to carry out routinely.
PubMed: 2071860
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pubmed:2071860Le document en format XML
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Demaille</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1991">1991</date><idno type="RBID">pubmed:2071860</idno><idno type="pmid">2071860</idno><idno type="wicri:Area/PubMed/Corpus">005C10</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005C10</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].</title><author><name sortKey="Dufour, P" sort="Dufour, P" uniqKey="Dufour P" first="P" last="Dufour">P. Dufour</name><affiliation><nlm:affiliation>Service de Chirurgie, Centre Oscar-Lambret, Lille.</nlm:affiliation></affiliation></author><author><name sortKey="Laurent, J C" sort="Laurent, J C" uniqKey="Laurent J" first="J C" last="Laurent">J C Laurent</name></author><author><name sortKey="Depadt, G" sort="Depadt, G" uniqKey="Depadt G" first="G" last="Depadt">G. Depadt</name></author><author><name sortKey="Demaille, A" sort="Demaille, A" uniqKey="Demaille A" first="A" last="Demaille">A. Demaille</name></author></analytic><series><title level="j">Journal de gynecologie, obstetrique et biologie de la reproduction</title><idno type="ISSN">0368-2315</idno><imprint><date when="1991" type="published">1991</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Breast Neoplasms (mortality)</term><term>Breast Neoplasms (secondary)</term><term>Breast Neoplasms (surgery)</term><term>Clinical Protocols (standards)</term><term>Follow-Up Studies</term><term>Humans</term><term>Length of Stay (statistics & numerical data)</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymph Node Excision (standards)</term><term>Lymphatic Metastasis (pathology)</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Postoperative Complications (epidemiology)</term><term>Survival Rate</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Metastasis</term></keywords><keywords scheme="MESH" qualifier="secondary" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Clinical Protocols</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Length of Stay</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Neoplasm Staging</term><term>Survival Rate</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">895 axillary clearances were carried out in 3 years between 1986 and 1988 on 878 patients with primary breast cancer. Two procedures were used: either direct total axillary clearance (in stages 1, 2 and 3 of Berg) or inferior axillary clearance (stages 1 and 2 of Berg). This was carried out in association with frozen section diagnosis of the lymph node followed by clearance in Berg stage 3 if the diagnosis on frozen section was positive. The authors found a higher frequency of late complications, particularly of arm lymphoedema in patients who had complete axillary clearance than in patients who only had an inferior axillary clearance. The survival rate actuarilly calculated was not significantly different in the two groups of patients. The carrying out of total axillary clearance was "beneficial" for only 3 patients who had negative inferior axillary clearance and positive sub-clavicular clearance. Finally the frozen section diagnosis of the state of the axillary nodes shown to be correct (specificity -99% and sensitivity -76%) but it was difficult to carry out routinely.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">2071860</PMID><DateCreated><Year>1991</Year><Month>08</Month><Day>20</Day></DateCreated><DateCompleted><Year>1991</Year><Month>08</Month><Day>20</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0368-2315</ISSN><JournalIssue CitedMedium="Print"><Volume>20</Volume><Issue>2</Issue><PubDate><Year>1991</Year></PubDate></JournalIssue><Title>Journal de gynecologie, obstetrique et biologie de la reproduction</Title><ISOAbbreviation>J Gynecol Obstet Biol Reprod (Paris)</ISOAbbreviation></Journal><ArticleTitle>[Breast cancer: can axillary dissection be restricted to Berg stages 1 and 2? Study of 895 cases].</ArticleTitle><Pagination><MedlinePgn>171-7</MedlinePgn></Pagination><Abstract><AbstractText>895 axillary clearances were carried out in 3 years between 1986 and 1988 on 878 patients with primary breast cancer. Two procedures were used: either direct total axillary clearance (in stages 1, 2 and 3 of Berg) or inferior axillary clearance (stages 1 and 2 of Berg). This was carried out in association with frozen section diagnosis of the lymph node followed by clearance in Berg stage 3 if the diagnosis on frozen section was positive. The authors found a higher frequency of late complications, particularly of arm lymphoedema in patients who had complete axillary clearance than in patients who only had an inferior axillary clearance. The survival rate actuarilly calculated was not significantly different in the two groups of patients. The carrying out of total axillary clearance was "beneficial" for only 3 patients who had negative inferior axillary clearance and positive sub-clavicular clearance. Finally the frozen section diagnosis of the state of the axillary nodes shown to be correct (specificity -99% and sensitivity -76%) but it was difficult to carry out routinely.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dufour</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Service de Chirurgie, Centre Oscar-Lambret, Lille.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laurent</LastName><ForeName>J C</ForeName><Initials>JC</Initials></Author><Author ValidYN="Y"><LastName>Depadt</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Demaille</LastName><ForeName>A</ForeName><Initials>A</Initials></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Cancer du sein: peut-on se limiter aux étages 1 et 2 de Berg, lors du curage axillaire? Etude à propos de 895 cas.</VernacularTitle></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>J Gynecol Obstet Biol Reprod (Paris)</MedlineTA><NlmUniqueID>0322206</NlmUniqueID><ISSNLinking>0150-9918</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000556" MajorTopicYN="Y">secondary</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="N">Clinical Protocols</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1991</Year><Month>1</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1991</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1991</Year><Month>1</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">2071860</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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