Axillary lymph node metastases in patients with a final diagnosis of ductal carcinoma in situ - 26/08/11
Abstract |
Background |
Recent studies report the incidence of axillary metastases in patients with ductal carcinoma in-situ (DCIS) approaches 13%. The purpose of this study was to define the incidence of axillary micrometastases in patients with pure DCIS before and after the introduction of sentinel lymph node biopsy.
Methods |
Patients with a final diagnosis of DCIS form the basis of this study. Data were entered prospectively into an Institutional Review Board approved Oracle database from January 1997 through July 2002.
Results |
One hundred and thirty-four patients had lymph nodes evaluated. Ninety-eight percent of patients had no evidence of metastatic disease and 2% were found to have micrometastases. This was consistent in those who had level I or II lymph node sampling or both and those who had lymphatic mapping and a sentinel lymph node biopsy procedure.
Conclusions |
These data do not support axillary lymph node removal of any type in patients with pure DCIS.
Le texte complet de cet article est disponible en PDF.Keywords : Ductal carcinoma in-situ, Intraductal carcinoma, Sentinel lymph node biopsy
Plan
Vol 186 - N° 4
P. 368-370 - octobre 2003 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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