Decreased axillary lymph node retrieval in patients after neoadjuvant chemotherapy

Background: The purpose of this study was to assess our clinical impression that fewer lymph nodes are retrieved after level I and II axillary dissection after neoadjuvant chemotherapy and whether there is a positive correlation between the total number of lymph nodes retrieved and the number of dis...

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Veröffentlicht in:	The American journal of surgery 2002-10, Vol.184 (4), p.299-301
Hauptverfasser:	Baslaim, Muna M, Al Malik, Osama A, Al-Sobhi, Saif S, Ibrahim, Ezzeldin, Ezzat, Adnan, Ajarim, Dahish, Tulbah, Asma, Chaudhary, Mohammad A, Sorbris, Ralph A
Format:	Artikel
Sprache:	eng
Schlagworte:	Antibiotics, Antineoplastic - therapeutic use Axilla Axillary lymph node retrieval Biological and medical sciences Breast cancer Breast Neoplasms - pathology Breast Neoplasms - therapy Cancer therapies Chemotherapy Chemotherapy, Adjuvant Dissection Female Gynecology. Andrology. Obstetrics Humans Locally advanced breast cancer Lymph Node Excision Lymph nodes Lymph Nodes - pathology Lymph Nodes - surgery Lymphatic Metastasis Lymphatic system Mammary gland diseases Mastectomy, Modified Radical Medical sciences Neoadjuvant chemotherapy Neoadjuvant Therapy Neoplasm Staging Paclitaxel - therapeutic use Pathology Patients Retrospective Studies Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the genital tract and mammary gland Tumors
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Zusammenfassung:	Background: The purpose of this study was to assess our clinical impression that fewer lymph nodes are retrieved after level I and II axillary dissection after neoadjuvant chemotherapy and whether there is a positive correlation between the total number of lymph nodes retrieved and the number of diseased lymph nodes. Methods: Patients included those with stage IIB, IIIA, and IIIB breast cancer of whom 77 had neoadjuvant chemotherapy and 58 had initial surgery only. All had modified radical mastectomy with in continuity level I and II axillary dissection. Results: Patients after neoadjuvant chemotherapy had 14.3 ± 6.7 lymph nodes detected versus 16.9 ± 8.8 (mean ± SD; P
ISSN:	0002-9610 1879-1883
DOI:	10.1016/S0002-9610(02)00959-5