Management of Axilla in Invasive Breast Cancer

Autor: Paulomi Shroff, Philip Z. Israel
Rok vydání: 2014
Předmět:
Zdroj: Breast Disease ISBN: 9781493911448
Popis: The majority of invasive breast cancer patients will develop axillary lymph node metastases prior to developing distant metastases. The management of the axilla in the treatment of invasive breast cancer thus remains a critical component of therapy. It influences the AJCC staging of invasive breast cancer. This chapter deals with the evaluation of the axilla. Preoperatively, it includes clinical exam, ultrasound evaluation and fine needle aspiration biopsy (FNA) or core needle biopsy (CNB) of abnormal axillary lymph nodes. Intraoperatively, this includes sentinel lymph node biopsy (SLNB) and completion axillary lymph node dissection (CALND). This review addresses some of the changing philosophy with management of the axilla in invasive breast cancer and the controversies and paradigm shifts that accompany the same. The role of axillary evaluation of breast cancer in certain special situations is discussed.
Databáze: OpenAIRE