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Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes
Joint Authors
Tan, Ern Yu
Chen, Juliana J. C.
Ho, Pey Woei
Earnest, Arul
Teo, Christine
Ho, Bernard
Chan, Patrick Mun Yew
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-16
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Up to 60% of patients with a positive sentinel lymph node (SLN) have no additional nodal involvement and do not benefit from completion axillary lymph node dissection (ALND).
We aim to identify factors predicting for non-SLN involvement and to validate the MSKCC nomogram and Tenon score in our population.
Methods.
Retrospective review was performed of 110 consecutive patients with positive SLNs who underwent ALND over an 8-year period.
Results.
Fifty patients (45%) had non-SLN involvement.
Non-SLN involvement correlated positively with the number of positive SLNs (P=0.04), macrometastasis (P=0.01), and inversely with the total number of SLNs harvested (P=0.03).
The MSKCC nomogram and Tenon score both failed to perform as previously reported.
Conclusions.
The MSKCC nomogram and Tenon score have limited value in our practice.
Instead, we identified three independent predictors, which are more relevant in guiding the intraoperative decision for ALND.
American Psychological Association (APA)
Tan, Ern Yu& Ho, Bernard& Chen, Juliana J. C.& Ho, Pey Woei& Teo, Christine& Earnest, Arul…[et al.]. 2011. Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes. ISRN Oncology،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-479808
Modern Language Association (MLA)
Tan, Ern Yu…[et al.]. Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes. ISRN Oncology No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-479808
American Medical Association (AMA)
Tan, Ern Yu& Ho, Bernard& Chen, Juliana J. C.& Ho, Pey Woei& Teo, Christine& Earnest, Arul…[et al.]. Predictors of Nonsentinel Nodal Involvement to Aid Intraoperative Decision Making in Breast Cancer Patients with Positive Sentinel Lymph Nodes. ISRN Oncology. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-479808
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479808