scholarly journals Factors Influencing Non-sentinel Node Metastasis in Patients with Macrometastatic Sentinel Lymph Node Involvement and Validation of Three Commonly Used Nomograms

2017 ◽  
Vol 13 (4) ◽  
pp. 189-193 ◽  
Author(s):  
Hikmet Erhan Guven ◽  
Lutfi Dogan ◽  
Mahmut Onur Kulturoglu ◽  
Mehmet Ali Gulcelik ◽  
Cihangir Ozaslan
2015 ◽  
Vol 101 (1) ◽  
pp. 78-83 ◽  
Author(s):  
Icro Meattini ◽  
Calogero Saieva ◽  
Silvia Bertocci ◽  
Giulio Francolini ◽  
Giacomo Zei ◽  
...  

2009 ◽  
Vol 150 (48) ◽  
pp. 2182-2188 ◽  
Author(s):  
Gábor Cserni ◽  
Rita Bori ◽  
István Sejben ◽  
Gábor Boross ◽  
Róbert Maráz ◽  
...  

Small breast cancers often require different treatment than larger ones. The frequency and predictability of further nodal involvement was evaluated in patients with positive sentinel lymph nodes and breast cancers ≤15 mm by means of 8 different predictive tools. Of 506 patients with such small tumors 138 with positive sentinel nodes underwent axillary dissection and 39 of these had non-sentinel node involvement too. The Stanford nomogram and the micrometastatic nomogram were the predictive tools identifying a small group of patients with low probability of further axillary involvement that might not require completion axillary lymph node dissection. Our data also suggest that the Tenon score can separate subsets of patients with a low and a higher risk of non-sentinel node metastasis. Predictive tools based on multivariate models can help in omitting completion axillary dissection in patients with low risk of non-sentinel lymph node metastasis based on their small tumor size.


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