Locoregional treatment of early breast cancer with isolated tumor cells or micrometastases on sentinel lymph node biopsy

被引:9
|
作者
Tallet, Agnes [1 ,2 ]
Lambaudie, Eric [2 ,3 ,4 ]
Cohen, Monique [2 ,3 ]
Minsat, Mathieu [1 ,2 ]
Bannier, Marie [2 ,3 ]
Resbeut, Michel [1 ,2 ]
Houvenaeghel, Gilles [2 ,3 ,4 ]
机构
[1] Inst Paoli Calmettes, Dept Radiotherapy, F-13009 Marseille, France
[2] CRCM, 232 Bd St Marguerite, F-13009 Marseille, France
[3] Inst Paoli Calmettes, Dept Surg, 232 Bd St Marguerite, F-13009 Marseille, France
[4] Aix Marseille Univ, F-13284 Marseille, France
来源
WORLD JOURNAL OF CLINICAL ONCOLOGY | 2016年 / 7卷 / 02期
关键词
Breast cancer; Micrometastases; Axillary lymph node dissection; Radiotherapy; Isolated tumor cells;
D O I
10.5306/wjco.v7.i2.243
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The advent of sentinel lymph-node technique has led to a shift in lymph-node staging, due to the emergence of new entities namely micrometastases (pN1mi) and isolated tumor cells [pN0(i+)]. The prognostic significance of this low positivity in axillary lymph nodes is currently debated, as is, therefore its management. This article provides updates evidence-based medicine data to take into account for treatment decision-making in this setting, discussing the locoregional treatment in pN0(i+) and pN1mi patients (completion axillary dissection, axillary irradiation with or without regional nodes irradiation, or observation), according to systemic treatment, with the goal to help physicians in their daily practice.
引用
收藏
页码:243 / 252
页数:10
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