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Related to axillary dissection: axillary lymph node dissection
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For women with axillary dissection and four or more positive nodes, radiotherapy reduced overall recurrence (RR, 0.
8) reported 50% recurrence rate when the axilla is treated only with radiotherapy (RT) in comparison to axillary dissection (<10%).
Locoregional recurrence after sentinel lymph node dissection with or without axillary dissection in patients with sentinel lymph node metastases: The American College of Surgeons Oncology Group Z0011 randomized trial.
Half the women had further axillary dissection and removal of at least 10 lymph nodes.
Thus, it is difficult to discern the benefit of the axillary dissection (and radiation) versus the adjuvant therapy.
Whilst SNB is the procedure of choice in clinically node-negative breast cancer, preoperative radiological staging of the axilla is important because axillary dissection is the recommended treatment for those with axillary metastases, and because it is in cases where nodes are heavily infiltrated with tumour that SNB is most likely to produce a false-negative result.
The accepted treatment for early-stage breast cancer in women with breast implants--skin-sparing mastectomy with axillary dissection and implant exchange followed by WBI--carries a 55% risk of capsular contracture due to the formation of collagenous scar tissue around the implant, Dr.
Does information from axillary dissection change treatment in clinically node-negative patients with breast cancer?
A retrospective analysis of 671 consecutive breast cancer patients aged 70 or older by investigators at Italy's National Cancer Institute in Milan demonstrated that those who were clinically node negative could skip axillary dissection and be treated by breast-conserving surgery plus tamoxifen with resultant 5- and 10-year distant metastasis and breast cancer mortality rates not significantly different from those who underwent axillary dissection (Cancer 97[5]:1156-63, 2003).