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Staging the axilla in breast cancer: An audit of lymph-node retrieval in one U.K. regional centre

Staging the axilla in breast cancer: An audit of lymph-node retrieval in one U.K. regional centre
Staging the axilla in breast cancer: An audit of lymph-node retrieval in one U.K. regional centre

Aims: Many surgeons undertake a level 1 axillary dissection in patients with invasive breast cancer. This dissection yields a variable number of lymph nodes for histological study. In this study, we report the consequences of this policy for staging of the axilla. Methods: Between January 1995 and December 1995, 236 patients with a diagnosis of invasive breast cancer underwent axillary surgery. Results: A median of eight nodes was identified (range 0-30). In only 11 patients less than four nodes were identified. An increase in the number of nodes harvested was associated with a higher proportion of node-positive patients and a higher number of metastatic nodes identified. Conclusions: We concluded that a standardized approach to axillary dissection consistently yields an adequate sample of lymph nodes for staging purposes. Most importantly, larger node samples yield higher detection rates for metastasis. This has a significant bearing on patient selection for adjuvant chemotherapy when compared with more limited sampling practices, including solitary sentinel node detection and biopsy.

Axilla, Breast cancer, Lymph nodes
0748-7983
280-282
Kutiyanawala, M. A.
8d806699-8d42-4aba-a9ca-54542807e090
Sayed, M.
bb101a1a-149c-451e-92df-13184ca5813e
Stotter, A.
348954a9-a69c-4b5a-bbe8-7a2399d12220
Windle, R.
59ecee64-3b1c-45c6-8664-7d13d08f4775
Rew, D.
36dcc3ad-2379-4b61-a468-5c623d796887
Kutiyanawala, M. A.
8d806699-8d42-4aba-a9ca-54542807e090
Sayed, M.
bb101a1a-149c-451e-92df-13184ca5813e
Stotter, A.
348954a9-a69c-4b5a-bbe8-7a2399d12220
Windle, R.
59ecee64-3b1c-45c6-8664-7d13d08f4775
Rew, D.
36dcc3ad-2379-4b61-a468-5c623d796887

Kutiyanawala, M. A., Sayed, M., Stotter, A., Windle, R. and Rew, D. (1998) Staging the axilla in breast cancer: An audit of lymph-node retrieval in one U.K. regional centre. European Journal of Surgical Oncology, 24 (4), 280-282. (doi:10.1016/S0748-7983(98)80006-1).

Record type: Article

Abstract

Aims: Many surgeons undertake a level 1 axillary dissection in patients with invasive breast cancer. This dissection yields a variable number of lymph nodes for histological study. In this study, we report the consequences of this policy for staging of the axilla. Methods: Between January 1995 and December 1995, 236 patients with a diagnosis of invasive breast cancer underwent axillary surgery. Results: A median of eight nodes was identified (range 0-30). In only 11 patients less than four nodes were identified. An increase in the number of nodes harvested was associated with a higher proportion of node-positive patients and a higher number of metastatic nodes identified. Conclusions: We concluded that a standardized approach to axillary dissection consistently yields an adequate sample of lymph nodes for staging purposes. Most importantly, larger node samples yield higher detection rates for metastasis. This has a significant bearing on patient selection for adjuvant chemotherapy when compared with more limited sampling practices, including solitary sentinel node detection and biopsy.

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More information

Published date: August 1998
Additional Information: Copyright: Copyright 2017 Elsevier B.V., All rights reserved.
Keywords: Axilla, Breast cancer, Lymph nodes

Identifiers

Local EPrints ID: 449535
URI: http://eprints.soton.ac.uk/id/eprint/449535
ISSN: 0748-7983
PURE UUID: 14a3d0a0-044d-43ef-9204-ff4b6458ebeb
ORCID for D. Rew: ORCID iD orcid.org/0000-0002-4518-2667

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Date deposited: 04 Jun 2021 16:32
Last modified: 17 Mar 2024 03:56

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Contributors

Author: M. A. Kutiyanawala
Author: M. Sayed
Author: A. Stotter
Author: R. Windle
Author: D. Rew ORCID iD

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