Az emlőrák korszerű sebészi kezelése. III. Emlőrák-konszenzuskonferencia

Lázár, György; Bursics, Attila; Farsang, Zoltán; Harsányi, László; Kósa, C; Maráz, Róbert; Mátrai, Zoltán; Paszt, Attila; Pavlovics, Gábor; Tamás, Róbert

doi:10.1556/1046.69.2016.3.5

Cited by 3 publications

(2 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on several international guidelines, a sentinel lymph node biopsy should be performed in cases characterised by the presence of axillary lymph nodes considered negative by preoperative examinations and aspiration cytology or core biopsy should be performed with axillary lymph nodes considered positive. 3,4,21,22 Several research groups have studied which factors detected or examined during the preoperative period (imaging studies, histological finding etc.) may be suitable to determine whether SLNB or ALND should be performed during surgery.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is axillary lymph node dissection necessary for positive preoperative aspiration cytology lymph node results?

Horváth

Paszt

Simonka

et al. 2020

European Journal of Surgical Oncology

View full text Add to dashboard Cite

Introduction: Based on international guidelines, axillary lymph node dissection (ALND) is recommended in cases of breast cancer if preoperative examinations confirm axillary metastasis. We examined which set of preoperative parameters might render ALND unnecessary. Patients and methods: Preoperative examinations (axillary ultrasound and aspiration cytology) confirmed axillary metastasis in 190 cases out of 2671 patients with breast cancer; primary ALN dissection was performed on these patients with or without prior neoadjuvant therapy. The clinicopathological results were analysed to determine which parameter might predict the presence of no more than 2 or 3 metastatic ALNs. Results: The final histological examination confirmed 1-3 metastatic lymph nodes in ALND samples in 116 cases and over 3 metastatic lymph nodes in 74 cases. For patients receiving neoadjuvant therapy (59 out of the 190 cases), if the size of the primary tumour was 2 cm or smaller and/or the metastatic ALN was 15 mm or smaller, then the patient was likely to have no more than 3 positive ALNs (stage N0-1 disease) (p < 0.001). If the patient did not receive neoadjuvant therapy, stage N2 or N3 disease was very likely. No correlation was found between other clinicopathological characteristics of the tumour and involvement of the ALNs. Conclusion: Axillary lymph node dissection is not necessary for selected breast cancer patients with axillary metastasis receiving neoadjuvant therapy. In these cases, sentinel lymph node biopsy with or without radiation therapy and close follow-up may serve as adequate therapy.

show abstract

Section: Discussionmentioning

confidence: 99%

“…1,2 This recommendation has been approved by international and Hungarian consensus conferences as well. 3,4 Patients with ALN metastasis confirmed by preoperative examinations represent a separate treatment group. ALND must be performed on these patients if surgical treatment is required.…”

Section: Introductionmentioning

confidence: 99%

Is axillary lymph node dissection necessary for positive preoperative aspiration cytology lymph node results?

Horváth

Paszt

Simonka

et al. 2020

European Journal of Surgical Oncology

View full text Add to dashboard Cite

show abstract

Breast sarcoma surgical management: a five-year multicentric study

Scăunașu¹,

Burcoş²,

Voiculescu³

et al. 2016

J Clin Invest Surg.

View full text Add to dashboard Cite

Breast sarcoma surgical management: a five-year multicentric study

Scăunașu¹,

Burcoş²,

Voiculescu³

et al. 2016

J Clin Invest Surg.

View full text Add to dashboard Cite

Background. Breast sarcomas are a heterogeneous group of breast neoplasms with a low incidence and a reserved prognosis. No treatment protocol has been yet established, a guideline similar to soft tissue sarcomas is used. Materials and Methods. Our study analyzed all the patients admitted with the diagnosis of malignant breast disease in two specialized centers on a five-year time frame. We compared long term results for the patients who underwent conservative treatment and mastectomy. Results. A total of 76 cases received surgical treatment with curative intent, 24 conservative procedures and 52 mastectomies. Incidence of local recurrence does not appear to be closely related to the type of surgical procedure. There were a number of five local recurrences for patients who received conservative treatment and 7 local recurrences where we used mastectomy. Kaplan-Meier analysis conducted shows no differences statistically significant (sig = 0.459) between the results of conservative treatment and mastectomy. Basically conservative surgery seems to get similar results, provided that R0 resection objective can be met. Conclusions. Treatment options are more limited for breast sarcomas than carcinomas, the role of surgery being more important to therapeutic success. The biological characteristic of the tumor including histological type and sub-type, play an important role in determining the results and the treatment should be tailored and adapted for each case. Acne conglobata is a rare, severe form of acne vulgaris characterized by the presence of comedones, papules, pustules, nodules and sometimes hematic or meliceric crusts, located on the face, trunk, neck, arms and buttocks.

show abstract

Az emlőrák korszerű sebészi kezelése. III. Emlőrák-konszenzuskonferencia

Cited by 3 publications

References 45 publications

Is axillary lymph node dissection necessary for positive preoperative aspiration cytology lymph node results?

Is axillary lymph node dissection necessary for positive preoperative aspiration cytology lymph node results?

Breast sarcoma surgical management: a five-year multicentric study

Breast sarcoma surgical management: a five-year multicentric study

Contact Info

Product

Resources

About