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A mini-invasive technique for axillary lymphadenectomy in early breast cancer: a study of 15 patients.

Identifieur interne : 004B65 ( PubMed/Curation ); précédent : 004B64; suivant : 004B66

A mini-invasive technique for axillary lymphadenectomy in early breast cancer: a study of 15 patients.

Auteurs : L. Cangiotti [Italie] ; R. Poiatti ; L. Taglietti ; P. Re ; B. Carrara

Source :

RBID : pubmed:10606172

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English descriptors

Abstract

Axillary lymphadenectomy is the major cause of morbidity reported in breast surgery, but remains the gold standard in breast cancer staging procedures. The aim of this study was to evaluate if endoscopic lymphadenectomy, preceded by fat suction, could reduce morbidity and hospitalization, giving better aesthetic results, while conserving the same oncologic radicality as the traditional open technique. We studied 15 cases of breast cancer with tumour diameter < or = 25 mm, N0. The subjects underwent endoscopic lymphadenectomy. We removed an average of 15.5 node/patient, the volume of lymphorrea was 580 ml, the drainage was kept up for 5 days, the mean length of hospitalization was 6 days. One seroma (4.6%) was found. No shoulder restriction has been reported and aesthetic results were excellent. The follow-up will demonstrate if this technique can reduce the incidence of lymphoedema.

PubMed: 10606172

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pubmed:10606172

Le document en format XML

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<title xml:lang="en">A mini-invasive technique for axillary lymphadenectomy in early breast cancer: a study of 15 patients.</title>
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<name sortKey="Cangiotti, L" sort="Cangiotti, L" uniqKey="Cangiotti L" first="L" last="Cangiotti">L. Cangiotti</name>
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<nlm:affiliation>Dept of Surgery, Clinica San Rocco di Franciacorta, Ome (Bs), Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dept of Surgery, Clinica San Rocco di Franciacorta, Ome (Bs)</wicri:regionArea>
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<name sortKey="Poiatti, R" sort="Poiatti, R" uniqKey="Poiatti R" first="R" last="Poiatti">R. Poiatti</name>
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<name sortKey="Taglietti, L" sort="Taglietti, L" uniqKey="Taglietti L" first="L" last="Taglietti">L. Taglietti</name>
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<name sortKey="Re, P" sort="Re, P" uniqKey="Re P" first="P" last="Re">P. Re</name>
</author>
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<name sortKey="Carrara, B" sort="Carrara, B" uniqKey="Carrara B" first="B" last="Carrara">B. Carrara</name>
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<term>Breast Neoplasms (surgery)</term>
<term>Carcinoma, Ductal, Breast (secondary)</term>
<term>Carcinoma, Ductal, Breast (surgery)</term>
<term>Carcinoma, Lobular (secondary)</term>
<term>Carcinoma, Lobular (surgery)</term>
<term>Drainage</term>
<term>Endoscopy</term>
<term>Esthetics</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lipectomy</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis (diagnosis)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
<term>Postoperative Complications (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aisselle ()</term>
<term>Carcinome canalaire du sein ()</term>
<term>Carcinome canalaire du sein (secondaire)</term>
<term>Carcinome lobulaire ()</term>
<term>Carcinome lobulaire (secondaire)</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Drainage</term>
<term>Durée du séjour</term>
<term>Endoscopie</term>
<term>Esthétique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème ()</term>
<term>Mastectomie partielle</term>
<term>Métastase lymphatique (diagnostic)</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
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<term>Lymphatic Metastasis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Métastase lymphatique</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Postoperative Complications</term>
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<term>Lymph Node Excision</term>
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<term>Lymphedema</term>
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<term>Carcinome canalaire du sein</term>
<term>Carcinome lobulaire</term>
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<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Lobular</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Lobular</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Complications postopératoires</term>
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<term>Adult</term>
<term>Aged</term>
<term>Drainage</term>
<term>Endoscopy</term>
<term>Esthetics</term>
<term>Female</term>
<term>Humans</term>
<term>Length of Stay</term>
<term>Lipectomy</term>
<term>Mastectomy, Segmental</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Aisselle</term>
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<term>Drainage</term>
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<term>Endoscopie</term>
<term>Esthétique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Mastectomie partielle</term>
<term>Sujet âgé</term>
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<front>
<div type="abstract" xml:lang="en">Axillary lymphadenectomy is the major cause of morbidity reported in breast surgery, but remains the gold standard in breast cancer staging procedures. The aim of this study was to evaluate if endoscopic lymphadenectomy, preceded by fat suction, could reduce morbidity and hospitalization, giving better aesthetic results, while conserving the same oncologic radicality as the traditional open technique. We studied 15 cases of breast cancer with tumour diameter < or = 25 mm, N0. The subjects underwent endoscopic lymphadenectomy. We removed an average of 15.5 node/patient, the volume of lymphorrea was 580 ml, the drainage was kept up for 5 days, the mean length of hospitalization was 6 days. One seroma (4.6%) was found. No shoulder restriction has been reported and aesthetic results were excellent. The follow-up will demonstrate if this technique can reduce the incidence of lymphoedema.</div>
</front>
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<Title>Journal of experimental & clinical cancer research : CR</Title>
<ISOAbbreviation>J. Exp. Clin. Cancer Res.</ISOAbbreviation>
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<AbstractText>Axillary lymphadenectomy is the major cause of morbidity reported in breast surgery, but remains the gold standard in breast cancer staging procedures. The aim of this study was to evaluate if endoscopic lymphadenectomy, preceded by fat suction, could reduce morbidity and hospitalization, giving better aesthetic results, while conserving the same oncologic radicality as the traditional open technique. We studied 15 cases of breast cancer with tumour diameter < or = 25 mm, N0. The subjects underwent endoscopic lymphadenectomy. We removed an average of 15.5 node/patient, the volume of lymphorrea was 580 ml, the drainage was kept up for 5 days, the mean length of hospitalization was 6 days. One seroma (4.6%) was found. No shoulder restriction has been reported and aesthetic results were excellent. The follow-up will demonstrate if this technique can reduce the incidence of lymphoedema.</AbstractText>
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