An axilla scoring system to predict non-sentinel lymph node status in breast cancer patients with sentinel lymph node involvement
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- 作者：Emmanuel Barranger ; Charles Coutant ; Antoine Flahault ; Yann Delpech ; Emile Darai and Serge Uzan
- 关键词：axilla scoring system ; breast cancer ; non ; sentinel lymph node metastasis ; prediction ; sentinel lymph node
- 刊名：Breast Cancer Research and Treatment
- 出版时间：2005
- 出版年：2005
- 期刊代码：11_01676806
- 类别：ch
- 卷：91
- 期：2
- 页码：113-119
- 数据来源：sp
摘要
Background. Axillary lymph node dissection (ALND) is the current standard of care for breast cancer patients with sentinel lymph node (SN) involvement. However, the SN is the only involved axillary node in a significant proportion of these patients. Here we examined factors predictive of non-SN involvement in patients with a metastatic SN, in order to develop a scoring system for predicting non-SN involvement.Materials and Methods. This study was based on a prospective database of 337 patients who underwent SN biopsy for breast cancer, of whom 81 (24) were SN-positive; we examined factors predictive of non SN involvement in the 71 of these 81 women who underwent complementary ALND. All clinical and histological criteria were recorded and analysed according to non-SN status, by using Chi-2 analysis, Students t-test, and multivariate logistic regression.