Morbidity results from the NSABP B-32 trial comparing sentinel lymph node dissection versus axillary dissection.
Identifieur interne : 002978 ( PubMed/Curation ); précédent : 002977; suivant : 002979Morbidity results from the NSABP B-32 trial comparing sentinel lymph node dissection versus axillary dissection.
Auteurs : Takamaru Ashikaga [États-Unis] ; David N. Krag ; Stephanie R. Land ; Thomas B. Julian ; Stewart J. Anderson ; Ann M. Brown ; Joan M. Skelly ; Seth P. Harlow ; Donald L. Weaver ; Eleftherios P. Mamounas ; Joseph P. Costantino ; Norman WolmarkSource :
- Journal of surgical oncology [ 1096-9098 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Aisselle, Amplitude articulaire (physiologie), Articulation glénohumérale (physiopathologie), Biopsie de noeud lymphatique sentinelle, Bras (physiopathologie), Femelle, Humains, Hypoesthésie (physiopathologie), Hypoesthésie (étiologie), Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Paresthésie (physiopathologie), Paresthésie (étiologie), Tumeurs du sein (anatomopathologie), Études de suivi, Études prospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- effets indésirables : Lymphadénectomie.
- physiologie : Amplitude articulaire.
- physiopathologie : Articulation glénohumérale, Bras, Hypoesthésie, Lymphoedème, Paresthésie.
- étiologie : Hypoesthésie, Lymphoedème, Paresthésie.
- Adulte d'âge moyen, Aisselle, Biopsie de noeud lymphatique sentinelle, Femelle, Humains, Lymphadénectomie, Études de suivi, Études prospectives.
English descriptors
- KwdEn :
- Arm (physiopathology), Axilla, Breast Neoplasms (pathology), Female, Follow-Up Studies, Humans, Hypesthesia (etiology), Hypesthesia (physiopathology), Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphedema (etiology), Lymphedema (physiopathology), Middle Aged, Paresthesia (etiology), Paresthesia (physiopathology), Prospective Studies, Range of Motion, Articular (physiology), Sentinel Lymph Node Biopsy, Shoulder Joint (physiopathology).
- MESH :
- adverse effects : Lymph Node Excision.
- etiology : Hypesthesia, Lymphedema, Paresthesia.
- methods : Lymph Node Excision.
- pathology : Breast Neoplasms.
- physiology : Range of Motion, Articular.
- physiopathology : Arm, Hypesthesia, Lymphedema, Paresthesia, Shoulder Joint.
- Axilla, Female, Follow-Up Studies, Humans, Middle Aged, Prospective Studies, Sentinel Lymph Node Biopsy.
Abstract
Three year post-surgical morbidity levels were compared between patients with negative sentinel lymph node dissection alone (SLND) and those with negative sentinel node dissection and negative axillary lymph node dissection (ALND) in the NSABP B-32 trial.
DOI: 10.1002/jso.21535
PubMed: 20648579
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pubmed:20648579Le document en format XML
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<front><div type="abstract" xml:lang="en">Three year post-surgical morbidity levels were compared between patients with negative sentinel lymph node dissection alone (SLND) and those with negative sentinel node dissection and negative axillary lymph node dissection (ALND) in the NSABP B-32 trial.</div>
</front>
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<ArticleTitle>Morbidity results from the NSABP B-32 trial comparing sentinel lymph node dissection versus axillary dissection.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.21535</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">Three year post-surgical morbidity levels were compared between patients with negative sentinel lymph node dissection alone (SLND) and those with negative sentinel node dissection and negative axillary lymph node dissection (ALND) in the NSABP B-32 trial.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 1,975 ALND and 2,008 SLND node negative breast cancer patients had shoulder range of motion and arm volumes assessed along with self reports of arm tingling and numbness. Relative shoulder abduction deficits and relative arm volume differences between ipsilateral and contralateral arms were calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Shoulder abduction deficits >or=10% peaked at 1 week for the ALND (75%) and SLND (41%) groups. Arm volume differences >or=10% at 36 months were evident for the ALND (14%) and SLND (8%) groups. Numbness and tingling peaked at 6 months for the ALND (49%, 23%) and SLND (15%, 10%) groups. Logistic regression correlates of residual morbidity included treatment group, age, handedness, tumor size, systemic chemotherapy, and radiation to the axilla.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Although residual morbidity for both treatment groups was evident, the results of the NSABP B-32 study indicate the superiority of the SLND compared to the ALND treatment approach relative to post-surgical morbidity outcomes over a 3-year follow-up period.</AbstractText>
<CopyrightInformation>(c) 2010 Wiley-Liss, Inc.</CopyrightInformation>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Breast Cancer Res Treat. 2006 Feb;95(3):279-93</RefSource>
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<CommentsCorrections RefType="CommentIn"><RefSource>J Surg Oncol. 2010 Aug 1;102(2):109-10</RefSource>
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