A Randomized Trial Comparing Axillary Dissection to No Axillary Dissection in Older Patients With T1N0 Breast Cancer

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Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial.

CONTEXT Sentinel lymph node dissection (SLND) accurately identifies nodal metastasis of early breast cancer, but it is not clear whether further nodal dissection affects survival. OBJECTIVE To determine the effects of complete axillary lymph node dissection (ALND) on survival of patients with sentinel lymph node (SLN) metastasis of breast cancer. DESIGN, SETTING, AND PATIENTS The American C...

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Dissection axillary lymph node count in patient with breast cancer followed by neoadjuvant therapy

Introduction: Breast cancer is the most common cancer and the second cause of death in women. It is essential to have the highest level of confidence in axillary staging assessment. Many surgeons and pathologists believe that fewer lymph nodes are present in axillary dissection specimens of women treated by neoadjuvant chemotherapy. Consequently, the purpose of this study was to compare the lym...

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Breast cancer in older woman: can axillary dissection be omitted?

Methods From 1995 to 1998, 435 patients over 45 year old with breast cancer up to 1.2 cm and clinically uninvolved axilla were randomized in two arms: 214 to conservative surgery without axillary dissection and 221 to conservative surgery without axillary dissection plus axillary radiotherapy. Our Breast Unit participated in the study with 25 patients. Results After a median follow up of 63 mon...

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axillary dissection in 44 breast cancer patients without seroma formation

background : seroma formation is a common problem following axillary dissection. it is probably caused by a local inflammatory response. local steroids may prevent this problem by inhibiting inflammatory response at the wound site. methods : this randomized prospective study was undertaken to evaluate the effect of local triamcinolone injection on seroma formation following axillary dissection....

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Standardization of whole breast radiotherapy is required for safe omission of axillary lymph node dissection in breast cancer patients

Background: The purpose of this study was to assess the dose distribution and coverage of level Ⅰ-Ⅱ axillary lymph nodes during whole breast tangential field radiotherapy (RT) after breast-conserving surgery in patients with breast cancer. Materials and Methods: The level Ⅰ-Ⅱ axillary lymph node volumes were retrospectively contoured by a single radiation oncologist based on computed tomography...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 2005

ISSN: 0003-4932

DOI: 10.1097/01.sla.0000167759.15670.14