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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 11/2007

Open Access 01-11-2007 | Editorials

Can a Small Nodal Metastasis Reliably Alter Intraoperative Risk/Benefit Decision Making in Breast Cancer Surgery?

Authors: Lisa K. Jacobs, MD, Charles Balch, MD

Published in: Annals of Surgical Oncology | Issue 11/2007

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Excerpt

Surgeons treating breast cancer patients make repeated decisions as they select from an array of complex management options. The end point of any recommendation to our patients is, do the potential benefits of surgery outweigh the potential risks? Whether to perform an axillary lymphadenectomy and whether to go ahead with autologous tissue-based immediate breast reconstructive surgery immediately after total mastectomy is determined by intraoperative evaluation of the sentinel node or nodes removed from the axilla. …
Literature
1.
Samoilova E, Brill Y, Davis J, et al. Size of sentinel node tumor deposits and extent of axillary lymph node involvement: which breast cancer patients may benefit from less aggressive axillary dissections? Ann Surg Oncol 2007;14:2223–9CrossRef
2.
Wilke LG, McCall LM, Posther KE, et al. Surgical complications associated with sentinel lymph node biopsy: results from a prospective international cooperative group trial. Ann Surg Oncol 2006;13:491–500PubMedCrossRef
3.
Fleissig A, Fallowfield LJ, Langridge CI, et al. Post-operative arm morbidity and quality of life. Results of the ALMANAC randomised trial comparing sentinel node biopsy with standard axillary treatment in the management of patients with early breast cancer. Breast Cancer Res Treat 2006;95:279–93PubMedCrossRef
Metadata
Title
Can a Small Nodal Metastasis Reliably Alter Intraoperative Risk/Benefit Decision Making in Breast Cancer Surgery?
Authors
Lisa K. Jacobs, MD
Charles Balch, MD
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 11/2007
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-007-9573-7

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