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Title:Do we need axillary dissection in early breast cancer?
Authors:ID Čufer, Tanja (Author)
Files:.pdf PDF - Presentation file, download (214,99 KB)
MD5: A491527C66AD529012B73FA75974ACE4
 
Language:English
Typology:1.08 - Published Scientific Conference Contribution
Organization:Logo OI - Institute of Oncology
Abstract:Background. In the existing paradigm of the invasive breast cancer, the treatment with the axillary lymphnode dissection (ALND) and histologic stagingof the axilla, which is associated with a substantial morbidity, is considered necessary for the treatment decision and local control of disease. However paradigms are changing and, since primary tumor characteristics are increasingly used for treatment decision and since there is a trend towards the broad application of preoperative chemotherapy, ALND is less and less important for the treatment planning. In a small subgroup of patients in whom the information on nodal status is still important it can be obtained accurately by the sentinel lymph node biopsy. For good local control of the disease, ALND can be replaced with irradiation of the axilla with substantially lesser morbidity. Conclusions. Abandoning ALND together with breast conserving surgery is one of the major steps towards less mutilating surgery leading to a better quality of life of breast cancer patients at the end of this millennium.
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2000
Publisher:Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
Year of publishing:2000
Number of pages:str. 285-8, 312
Numbering:Letn. 34, št. 3
Source:Ljubljana
PID:20.500.12556/DiRROS-17980 New window
UDC:616-006
ISSN on article:1318-2099
COBISS.SI-ID:11945689 New window
Copyright:by Authors
Note:2nd international symposyum on organ sparing treatment in oncology; 2000 Sep 14-16; Ljubljana; BSDOCID54013;
Publication date in DiRROS:25.01.2024
Views:160
Downloads:35
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Title:[Ali je še potrebna popolna odrstranitev pazdušnih bezgavk pri bolnicah z omejenim rakom dojk?]
Abstract:Izhodišča. Popolna odstranitev pazdušnih bezgavk (POPB) s histološkim pregledom le-teh še vedno velja za potreben kirurški poseg v okviru zdravljenja omejenega raka dojk. Ta poseg, ki ima pogosto neželene kasne podsledice, naj bi bil potreben za odločitev o dopolnilnem sistemskem zdravljenju in za lokalno kontrolo bolezni. Vedno bolj pa se zastavlja vprašanje, ali je temu res tako. Glede na to, da se dopolnilno zdravljenje vedno bolj načrtuje na podlagi bioloških lastnosti prvotnega tumorja in zaradivse pogostejše uporabe predoperativnega sistemskega zdravljenja, je POPBvse manj pomembna za načrtovanje zdravljenja. Pri majhni skupini bolnic, pri katerih pa je za izbor dopolnilnega zdravljenja še vedno potrebna informacija o prizadetosti pazdušnih bezgavk s tumorjem, lahko POPB nadomesti biopsija varovalne bezgavke. Dobro lokalno kontrolo bolezni je ob manjših kasnih posledicah mogoče doseči tudi z obsevanjem pazduhe. Zaključki. Skupaj zohranitvijo dojke je opustitev kirurške odstranitve vseh bezgavk v pazduhi eden glavnih korakov k izboljšanju kvalitete življenja bolnic z omejenim rakomdojk.


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